Amanda Etheridge
Amanda Etheridge is a Community/Behavioral Health Agency in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
6202 S Lewis Ave Ste JTulsa, OK 74136-1064
Phone: (918) 392-7988
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1104123405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2011 |
| Last updated in NPPES | August 27, 2021 |
| Certification date | August 27, 2021 |
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