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Individual

AMANDA DAWN SMALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3210 E 5TH AVE, COLUMBUS, OH 43219-2806
(614) 886-4818
Mailing address
3210 E 5TH AVE, COLUMBUS, OH 43219-2806
(614) 886-4818

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
RW562602
OH

Other

Enumeration date
07/22/2013
Last updated
07/22/2013
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