AMANDA SOUTHWELL

OSWEGO, IL
NPI1821410713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149016324)
Enumeration Date2014-01-10
Last Update Date2014-01-10
Business Address
-- AMANDA SOUTHWELL LCSW CADC
512 AFFIRMED DR
OSWEGO, IL 60543
Phone number: 847-997-4134
Mailing Address
-- AMANDA SOUTHWELL LCSW CADC
512 AFFIRMED DR
OSWEGO, IL 60543
Phone number: 847-997-4134
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