Individual
AMANDA COLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3567 RESERVE COMMONS DR STE 100, MEDINA, OH 44256-5344
(330) 664-9250
Mailing address
3567 RESERVE COMMONS DR STE 100, MEDINA, OH 44256-5344
(330) 664-9250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1801162-SUPV
OH
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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