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1497822027
AMANDA SUPERVILLE
CARY, NC
NPI
1497822027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C005337)
Enumeration Date
2006-11-29
Last Update Date
2023-08-01
Business Address
AMANDA SUPERVILLE LCSW
455 SWIFTSIDE DR SUITE 102
CARY, NC 27518-7200
Phone number: 919-271-8579
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Mailing Address
AMANDA SUPERVILLE LCSW
2536 URBINO CT
APEX, NC 27502-4730
Phone number: 919-271-8579
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