AMANDA DOUGLAS

LAFAYETTE, IN
NPI1891248282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MI  01230123)
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
-- AMANDA DOUGLAS MA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-448-8000
Mailing Address
-- AMANDA DOUGLAS MA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000
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