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1669888145
AMANDA MCCALLISTER
GRANITE CITY, IL
NPI
1669888145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.016791)
Enumeration Date
2014-07-07
Last Update Date
2014-07-07
Business Address
-- AMANDA MCCALLISTER LCSW
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040-6805
Phone number: 618-877-4420
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Mailing Address
-- AMANDA MCCALLISTER LCSW
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040-6805
Phone number:
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