Individual
AMANDA DAWN EASTHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 227-9444
Mailing address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 227-9444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1903383
OH
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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