Individual
AMBER STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
4104 GERMANTOWN PIKE, DAYTON, OH 45417-6118
(937) 263-0060
Mailing address
534 SAGE RUN DR, LEBANON, OH 45036-3918
(937) 263-0060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1100216
OH
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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