Individual
AMANDA MOLNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 412-9631
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
OH
Enumeration date
01/03/2019
Last updated
01/03/2019
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