Individual
AMANDA MARIE HEFFRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 SHERIDAN RD, POLAND, OH 44514-1239
(330) 716-7258
Mailing address
5100 SHERIDAN RD, POLAND, OH 44514-1239
(330) 716-7258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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