Individual
MRS. AMANDA S BEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
4159 N HOLLAND SYLVANIA RD, SUITE 205, TOLEDO, OH 43623-4803
(419) 318-5286
Mailing address
4159 N HOLLAND SYLVANIA RD, SUITE 205, TOLEDO, OH 43623-4803
(419) 318-5286
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1200760
OH
1041C0700X
Clinical Social Worker
Primary
I.1451108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190818
—
OH
Enumeration date
08/21/2012
Last updated
10/08/2021
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