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1467902791
AMANDA JUNE SMITH
ANNA, IL
NPI
1467902791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149014680)
Enumeration Date
2016-10-11
Last Update Date
2016-10-11
Business Address
-- AMANDA JUNE SMITH LCSW
204 SOUTH ST
ANNA, IL 62906-1549
Phone number: 618-833-8551
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Mailing Address
-- AMANDA JUNE SMITH LCSW
PO BOX 548
ANNA, IL 62906-0548
Phone number: 618-833-8551
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