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1477602779
AMANDA L LIS
CHARLOTTE, NC
NPI
1477602779
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Former Name
AMANDA L GRIMMETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 1139)
Enumeration Date
2007-01-09
Last Update Date
2012-11-27
Business Address
-- AMANDA L LIS MS, LMFT
360 N CASWELL RD
CHARLOTTE, NC 28204-2442
Phone number: 704-421-4887
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Mailing Address
-- AMANDA L LIS MS, LMFT
8041 STONEHAM CT
MATTHEWS, NC 28105-6435
Phone number: 704-421-4887
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