Individual
MS. AMANDA KATHRYN BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1800 HALLS CARRIAGE PATH, WESTLAKE, OH 44145-2031
(440) 289-1367
Mailing address
1800 HALLS CARRIAGE PATH, WESTLAKE, OH 44145-2031
(440) 289-1367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1100046
OH
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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