Individual
AMANDA BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2775 STATE ROUTE 39, SHELBY, OH 44875-9466
(419) 747-3322
Mailing address
103 N UNION ST APT 1, GALION, OH 44833-1746
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2106078
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/15/2019
Last updated
01/05/2023
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