Individual
AMANDA WILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
310 W LAKESIDE AVE, CLEVELAND, OH 44113-1044
(216) 443-8272
Mailing address
1234 W 2ND ST, LORAIN, OH 44052-1330
(419) 357-6355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2005284
OH
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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