Individual
AMANDA D BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
711 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 526-6102
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S.2309061
LSW LICENSE
OH
Enumeration date
01/21/2021
Last updated
05/12/2023
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