Individual
AMANDA KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, ED.S
Contact information
Practice address
9231 HAMER RD, GEORGETOWN, OH 45121-1527
(937) 378-6118
Mailing address
9231 HAMER RD, GEORGETOWN, OH 45121-1527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21143394
OH
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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