Individual
AMANDA BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 533-0648
Mailing address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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