Amanda Leann Siddons, LCSW

NPI #1457019937 in Fort Smith, Arkansas

Provider Information

NPI Number: 1457019937
Entity Type: Individual
Name: Amanda Leann Siddons, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 2, 2021
Last Updated: Dec 4, 2024

Practice Location

Address: 3514 COUNTRY CLUB AVE STE 5AND6
City: Fort Smith
State: Arkansas
ZIP Code: 72903-3300
Phone: (479) 657-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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