Individual
AMANDA MITCHUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 WOOSTER RD, MOUNT VERNON, OH 43050-1486
(740) 755-4775
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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