Amanda Paulette Gannon, LMSW

NPI #1285234419 in Ketchikan, Alaska

Provider Information

NPI Number
1285234419
Entity Type
Individual
Name
Amanda Paulette Gannon, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LMSW
Enumeration Date
Oct 27, 2020
Last Updated
Aug 1, 2024

Practice Location

Address
344 FRONT ST STE A
State
Alaska
ZIP Code
99901-6431
Phone
(572) 999-0107

Specialties & Taxonomy Codes

Specialty
Social Worker
Counselor - Mental HealthMental Health

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