Individual
AMANDA BLUBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8402 BLACKJACK RD, MOUNT VERNON, OH 43050-9193
(740) 397-0442
Mailing address
679 GRAND VALLEY DR, HOWARD, OH 43028-9203
(740) 504-5267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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