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Individual

KEELY AMANDA LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSW

Contact information

Practice address
4135 DIXIE HWY, ELSMERE, KY 41018-1815
(513) 834-7063
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
256627
KY
1041C0700X
Clinical Social Worker
Primary
00001043
KY
106S00000X
Behavior Technician
RBT-18-60243

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-18-60243
RBT CERTIFICATE
Enumeration date
06/14/2019
Last updated
07/21/2026
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