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NPI Code Detail

MEDICARE: AMANDA CHADWELL

MEDICARE: AMANDA CHADWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker5519GAL

General Provider Information

NPI Number : 1295461721
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA CHADWELL
Provider Business Mailing Address
First Line : 456 FRANCIS AVE
Second Line :
City : FLORENCE
State : AL
Zip : 35630-2311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 FAIRGROUND RD
Second Line :
City : FLORENCE
State : AL
Zip : 35630-1283
Country : US
Telephone Number : 256-712-8288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2022
Last Update Date : 07/27/2022

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Directions to “ AMANDA CHADWELL ” Practice Location

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