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Individual

AMY ELIZABETH CHOULAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
112 S 3RD ST, NEWARK, OH 43055-5335
(740) 345-6874
(740) 345-5157
Mailing address
327 UNION ST APT J22, NEWARK, OH 43055-8027
(740) 624-8073

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2512469
OH
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist

Other

Enumeration date
06/15/2020
Last updated
07/14/2025
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