Individual
AMANDA SCHACKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11005 STATE ROUTE 335, BEAVER, OH 45613-9741
(740) 970-7175
Mailing address
11005 STATE ROUTE 335, BEAVER, OH 45613-9741
(740) 970-7175
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
6600548
OH
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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