Most Relevant Information
Provider Data
| NPI Number: | 1003697715 |
| Provider Name: | AMANDA LORRAINE BURRIS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 2023031346 |
Most Important Dates
| Enumeration Date: | 10/09/2023 |
| Last Updated: | 01/18/2024 |
Provider Practice Location
777 W JACKSON ST
MARSHFIELD
MO
657062218
Practice Location Phone/Fax
| Phone: | 4172342756 |
| Fax: |
Provider Mailing Location
821 E BURFORD ST
MARSHFIELD
MO
657061305
Provider Mailing Phone/Fax
| Phone: | 4172342756 |
| Fax: |