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Amanda Farris
NPI 1568803658 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5944 Wooded Estates Ln
Edwardsville, IL 62025 - Phone
- (618) 407-1396
- Fax
- (618) 692-0942
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-17
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 Illinois