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Individual

AMANDA GROVES KOPCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 44131-2343
(216) 235-8673
Mailing address
3801 CHESTNUT RD, SEVEN HILLS, OH 44131-3736
(216) 235-8673

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901950-TRNE
OH
101Y00000X
Counselor
Primary
E.2303296-SUPV
OH

Other

Enumeration date
06/30/2020
Last updated
02/23/2026
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