AMANDA LOIS CREEL BANTA

NORTHPORT, AL
NPI1942065909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AL  5110C-S)
Enumeration Date2024-02-19
Last Update Date2024-03-11
Business Address
AMANDA LOIS CREEL BANTA LICSW
517 ENERGY CENTER BLVD STE 1302
NORTHPORT, AL 35473-5810
Phone number: 205-553-9171
Mailing Address
AMANDA LOIS CREEL BANTA LICSW
517 ENERGY CENTER BLVD STE 1302
NORTHPORT, AL 35473-5810
Phone number: 205-532-7387