Individual
AMANDA PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 BELLFLOWER AVE SW, CANTON, OH 44710-2015
(330) 880-8997
Mailing address
1229 BELLFLOWER AVE SW, CANTON, OH 44710-2015
(330) 880-8997
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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