Individual
AMANDA JO ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
905 RIVER RD STE A, GRANVILLE, OH 43023-9560
(740) 587-2822
(740) 587-2822
Mailing address
4419 DEEDS RD SW, PATASKALA, OH 43062-7447
(740) 404-1339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I. 0600081 SUPV
OH
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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