Individual
AMANDA FAZAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 W COLUMBUS ST, PICKERINGTON, OH 43147-1256
(614) 924-0363
Mailing address
18 W COLUMBUS ST, PICKERINGTON, OH 43147-1256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2405452O
OH
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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