Individual
AMY J. MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3333 BURNET AVE, ML6019, CINCINNATI, OH 45229
(513) 636-5278
(866) 456-5794
Mailing address
3333 BURNET AVE, ML6019, CINCINNATI, OH 45229
(513) 636-5278
(866) 456-5794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700299
OH
Other
Enumeration date
05/11/2017
Last updated
08/20/2019
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