Individual
AMY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34900 CHARDON RD, WILLOUGHBY HILLS, OH 44094-9161
(216) 314-3769
Mailing address
4708 PEARL RD APT 10, CLEVELAND, OH 44109-5132
(216) 314-6739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1450516
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
09/02/2014
Last updated
09/03/2020
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