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1477049930
AMANDA COWART DERHAM
SPRINGFIELD, MO
NPI
1477049930
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Former Name
AMANDA COWART JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2006025361)
Enumeration Date
2018-07-09
Last Update Date
2019-01-15
Business Address
AMANDA COWART DERHAM LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Phone number: 417-761-5000
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Mailing Address
AMANDA COWART DERHAM LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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