AMANDA LIGHT

RICHMOND, IN
NPI1740404128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- AMANDA LIGHT
4265 S A ST
RICHMOND, IN 47374-6049
Phone number: 765-962-8843
Mailing Address
-- AMANDA LIGHT
1809 VALLEY DR
RICHMOND, IN 47374-1533
Phone number:
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