Amanda Irene Ebert
NPI #1003660721 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1003660721
- Entity Type
- Individual
- Name
- Amanda Irene Ebert
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Apr 17, 2024
- Last Updated
- Apr 17, 2024
Practice Location
- Address
- 101 WHITE EAGLE DR
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-8307
- Phone
- (580) 762-3421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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