Individual
AMANDA TICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 WESTWOOD DR, VAN WERT, OH 45891-2449
(419) 238-3434
Mailing address
1158 WESTWOOD DR, VAN WERT, OH 45891-2449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
S.1700279-TRNE
OH
1041C0700X
Clinical Social Worker
Primary
S.1903548
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/08/2017
Last updated
05/16/2019
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