Amanda Leann Northcutt
Amanda Leann Northcutt is a Counselor in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
109 S Harrill AveWagoner, OK 74467-5317
Phone: (918) 485-0242
Fax: (918) 485-0204
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1679073613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 16, 2018 |
| Last updated in NPPES | February 16, 2018 |
| Mailing address | 109 S Harrill Ave, Wagoner, OK 74467-5317 |
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MS. Kelli Leeann McNally
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Madison M Medlock
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Jordan Marquett Presley I
109 S Harrill Ave, Wagoner, OK 74467-5317 · (918) 485-0242