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Individual

AMANDA E YULFO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4987
(440) 246-0189
Mailing address
2115 W PARK DR, LORAIN, OH 44053-1138
(440) 989-4987
(440) 246-0189

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S.1501432
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S.1501432
LICENSE
OH
Enumeration date
03/22/2017
Last updated
03/22/2017
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