AMANDA COWART DERHAM

SPRINGFIELD, MO
NPI1477049930
Former NameAMANDA COWART JONES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MO  2006025361)
Enumeration Date2018-07-09
Last Update Date2019-01-15
Business Address
AMANDA COWART DERHAM LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804
Phone number: 417-761-5000
Mailing Address
AMANDA COWART DERHAM LCSW
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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