Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 OBETZ RD, COLUMBUS, OH 43207-4036
(614) 409-1400
Mailing address
301 OBETZ RD, COLUMBUS, OH 43207-4036
(614) 409-1400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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