Dr AMANDA KOUBA is a female medical professional, specializing in Clinical Social Worker. She graduated in 2017.
SANFORD BISMARCK
102 MANDAN AVE
MANDAN
ND
585543771
Tel: 7016675000
| Npi | 1528577814 |
| Pac Id | 1153689666 |
| Professional Enrollment Id | I20171211000554 |
| Last Name | KOUBA |
| First Name | AMANDA |
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| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
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| Organization Legal Name | SANFORD BISMARCK |
| Group Practice Pac Id | 9739098575 |
| Number Of Group Practice Members | 359 |
| Line 1 Street Address | 102 MANDAN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MANDAN |
| State | ND |
| Zip Code | 585543771 |
| Phone Number | 7016675000 |
| Hospital Affiliation Ccn 1 | 350015 |
| Hospital Affiliation Lbn 1 | SANFORD MEDICAL CENTER BISMARCK |
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| Professional Accepts Medicare Assignment | Y |
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