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Search › Illinois › 1041C0700X

Amanda Pinkham, LCSW

NPI 1609012434 · on the registry since 2008 · sole proprietor

Practice

Address
310 W Losey St
Scott Afb, IL 62225
Phone
(618) 256-7203
Organisation at this address
Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-22

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