Agan, Amanda

Agan, Amanda is an individual health care provider with primary practice located at 11362 Country Club Rd , Lawrenceville IL 62439-4325. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Agan, Amanda can be contacted via phone (618) 943-3302.

Contact Information

Primary practice address
11362 Country Club Rd Lawrenceville IL 62439-4325
Phone: (618) 943-3302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1417566308
LBN Legal business name Agan, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2020
Last updated Jul 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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