Individual
AMY SUE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 MERCY BLVD, MOUNT ORAB, OH 45154-0296
(937) 712-3121
(937) 712-3132
Mailing address
5678 TALL OAKS DR, MILFORD, OH 45150-2524
(513) 504-5100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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