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Amanda Self
NPI 1245815109 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1330 N Main St
Tennessee Ridge, TN 37178 - Phone
- (888) 291-4357
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- Mental Illness Intermediate Care Facility
310500000X
- Sex
- Female
- Record last updated
- 2021-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee