Individual
AMBERDAWN E KENWORTHY-BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3746 HICKORY LN, GREENVILLE, OH 45331-3014
(937) 547-1934
Mailing address
3746 HICKORY LN, GREENVILLE, OH 45331-3014
(937) 547-1934
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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