Amanda Douglas, LCSW
NPI #1083065999 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1083065999
- Entity Type
- Individual
- Name
- Amanda Douglas, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jun 22, 2016
- Last Updated
- Feb 11, 2019
Practice Location
- Address
- 500 E 19TH ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1114
- Phone
- (417) 926-6563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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