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Organization
WELLNESS WITH AMI LLC
Active
Organization
WELLNESS WITH AMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMI WALLACE-BENNING LISW-S (OWNER/CLINICAL SOCIAL WORKER)
(937) 203-0975
Entity
Organization
Contact information
Practice address
3331 STANLEY AVE STE A, DAYTON, OH 45404-2022
(937) 203-0975
(855) 595-2759
Mailing address
PO BOX 549, DAYTON, OH 45404-0549
(937) 203-0975
(855) 595-2759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483745
—
OH
Enumeration date
04/14/2022
Last updated
07/15/2022
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