Individual
AMANDA J BIRCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS CMS
Contact information
Practice address
16101 SNOW RD, BROOKPARK, OH 44142-2817
(440) 260-6410
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
04/07/2018
Last updated
05/13/2020
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