Individual
AMY ROSE SIERSCHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
311 MARTIN LUTHER KING DR E, CINCINNATI, OH 45219-2581
(513) 475-5300
Mailing address
27 BELLEMONTE AVE, LAKESIDE PARK, KY 41017-3111
(513) 504-3603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
S.1600185
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/04/2020
Last updated
10/20/2020
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