Individual
AMANDA VICTORIA WILSON-BLEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(216) 831-2255
Mailing address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
000583439
OH
Other
Enumeration date
07/21/2022
Last updated
11/15/2023
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