Individual
AMANDA ROSE WENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14534 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 648-0964
Mailing address
814 E 2ND ST, PIKETON, OH 45661-8087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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