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Individual

AMY NICHOLE TOMLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
48 RANDOLPH ST, WILMINGTON, OH 45177-2731
(937) 481-5631
Mailing address
5439 BURKHARDT RD, DAYTON, OH 45431-2111

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
06/05/2023
Last updated
11/27/2023
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