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Individual

AMARA BAXTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7413 SQUIRE CT, WEST CHESTER, OH 45069-2380
(513) 847-4685
Mailing address
5356 GANTZFIELD CT, CINCINNATI, OH 45241-1783
(513) 560-6845

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1000848
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1632
OH
Enumeration date
02/19/2016
Last updated
02/19/2016
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