Individual
AMY S MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 N DETROIT ST, XENIA, OH 45385-1960
(937) 505-1877
(800) 480-7578
Mailing address
712 BEERY BLVD, UNION, OH 45322-2904
(937) 543-6398
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1440365
OH
Other
Enumeration date
10/17/2020
Last updated
10/07/2025
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