Individual
AMANDA ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
(614) 844-3800
Mailing address
108 ROSEBROOK CT, REYNOLDSBURG, OH 43068-4342
(614) 256-1660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2004678
OH
Other
Enumeration date
07/05/2018
Last updated
06/15/2023
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