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1992195325
AMANDA PORTMAN
BOWLING GREEN, KY
NPI
1992195325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 4005)
Enumeration Date
2015-01-22
Last Update Date
2015-01-22
Business Address
Mrs. AMANDA PORTMAN LCSW
1830 DESTINY LN SUITE 112
BOWLING GREEN, KY 42104-1087
Phone number: 270-999-1152
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Mailing Address
Mrs. AMANDA PORTMAN LCSW
1830 DESTINY LN SUITE 112
BOWLING GREEN, KY 42104-1087
Phone number: 270-999-1152
Copy
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