Individual
AMANDA K MATTHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
7061 CORPORATE WAY, DAYTON, OH 45459-4273
(937) 304-1615
(937) 439-2984
Mailing address
1055 E CENTERVILLE STATION RD, DAYTON, OH 45459-5500
(937) 439-2984
(937) 439-2984
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0009389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251930
—
OH
Enumeration date
07/18/2006
Last updated
05/05/2023
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