Individual
AMANDA AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW, LICSW
Contact information
Practice address
4441 TYLERS VIS, WEST CHESTER, OH 45069-7757
(612) 655-9367
Mailing address
4441 TYLERS VIS, WEST CHESTER, OH 45069-7757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
21802
MN
1041C0700X
Clinical Social Worker
Primary
I.2107752
OH
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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