Individual
AMANDA CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
(937) 736-2615
Mailing address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
(937) 736-2615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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