Individual
MRS. AMANDA NICHOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
100 BROADWAY AVE, YOUNGSTOWN, OH 44505-2789
(307) 449-0203
Mailing address
PO BOX 664, YOUNGSTOWN, OH 44501-0664
(330) 744-9020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2204069
OH
1041C0700X
Clinical Social Worker
S.1802390
OH
Other
Enumeration date
03/09/2021
Last updated
11/17/2022
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