Individual
AMANDA BROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 KENWOOD RD STE A130, BLUE ASH, OH 45242-6880
(513) 543-6600
(513) 745-0037
Mailing address
6942 TYLERSVILLE RD, WEST CHESTER, OH 45069-1511
(937) 510-2593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
02/10/2020
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