Individual
MRS. AMANDA KATHRYN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 GRANT ST, NEWARK, OH 43055-3939
(740) 349-7511
Mailing address
59 GRANT ST, NEWARK, OH 43055-3939
(740) 349-7511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1904521
OH
1041C0700X
Clinical Social Worker
Primary
I.2304393
OH
Other
Enumeration date
06/07/2019
Last updated
04/07/2023
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