Individual
AMANDA STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
996 N MONROE CT, XENIA, OH 45385-1860
(937) 708-8348
Mailing address
PO BOX 212, XENIA, OH 45385-0212
(937) 708-8348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2512940
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/10/2022
Last updated
09/30/2025
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