Individual
AMENA MICHELLE FEASEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
905 RIVER RD STE A, GRANVILLE, OH 43023-9560
(740) 587-2822
Mailing address
41191 TOWNSHIP ROAD 78, COSHOCTON, OH 43812-9110
(740) 294-9006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S32129
OH
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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