Individual
AMANDA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 DAYTON ST, HAMILTON, OH 45011-3455
(513) 868-7654
(513) 737-0026
Mailing address
515 DAYTON ST, HAMILTON, OH 45011-3455
(513) 868-7654
(513) 737-0026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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