Individual
MISS AMANDA L LONGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
2803 AKRON RD, WOOSTER, OH 44691
(330) 264-3232
(330) 202-3879
Mailing address
2000 NOBLE DR, WOOSTER, OH 44691-5353
(330) 264-3232
(330) 202-3879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1600249-SUPV
OH
Other
Enumeration date
10/02/2007
Last updated
08/23/2018
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