Amanda Southwell, LCSW CADC

NPI #1821410713 in Oswego, Illinois

Provider Information

NPI Number: 1821410713
Entity Type: Individual
Name: Amanda Southwell, LCSW CADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW CADC
Enumeration Date: Jan 10, 2014
Last Updated: Jan 10, 2014

Practice Location

Address: 512 AFFIRMED DR
City: Oswego
State: Illinois
ZIP Code: 60543
Phone: (847) 997-4134

Specialties & Taxonomy Codes

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

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