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1669451423
AMANDA ELLIS SMITH
MACON, GA
NPI
1669451423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW002818)
Enumeration Date
2006-01-11
Last Update Date
2007-07-08
Business Address
Ms. AMANDA ELLIS SMITH MSW
311 PIERCE AVE
MACON, GA 31204-2421
Phone number: 478-742-1775
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Mailing Address
Ms. AMANDA ELLIS SMITH MSW
311 PIERCE AVE
MACON, GA 31204-2421
Phone number: 478-742-1775
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