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1710383013
AMANDA EDWARDS
TAHLEQUAH, OK
NPI
1710383013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: OK 7223)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-11-13
Last Update Date
2024-08-16
Business Address
AMANDA EDWARDS LPC-S
310 RUBBER RD
TAHLEQUAH, OK 74464-2522
Phone number: 918-817-1638
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Mailing Address
AMANDA EDWARDS LPC-S
217 N WATER AVE
TAHLEQUAH, OK 74464-2825
Phone number: 918-817-1638
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