Individual
AMANDA MALLORY SLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S, MSW
Contact information
Practice address
228 S MAIN ST, BRYAN, OH 43506-1755
(567) 239-4562
(419) 225-8878
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 221-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203594-SUPV
OH
1041C0700X
Clinical Social Worker
Primary
S1101303
OH
Other
Enumeration date
05/25/2018
Last updated
03/19/2026
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