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Amanda Lynn Sandoval

Social Worker in Prineville, OR. Individual provider (NPI-1).

NPI number1497398317
StatusActive
Last updated in NPPESOct 23, 2019

Details

NPI
1497398317
Entity type
Individual (NPI-1)
Name
Amanda Lynn Sandoval
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2019
Last updated
Oct 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

1103 Ne Elm St
Prineville, OR 97754-1664

Phone 541-323-5330

Mailing address

2661 Ne Carriage Ln
Prineville, OR 97754-8435

Phone 208-919-9099

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