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Individual

AMBER SOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18 STATE ROUTE 143, ALBANY, OH 45710-1100
(740) 698-0131
Mailing address
224 COLUMBUS RD, ATHENS, OH 45701-1334

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2314525
OH
05
2864002
OH
Enumeration date
11/07/2018
Last updated
11/07/2018
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