Individual
MRS. AMY CAROLINE HAYNER-DEPEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
5750 GATEWAY, SUITE 103, MASON, OH 45040-1894
(513) 779-7400
(513) 779-7426
Mailing address
5744 WHITE PATH LN, LIBERTY TWP, OH 45011-1273
(513) 755-6886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E2976
OH
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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