Individual
AMANDA MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4431 MARKETING PL, GROVEPORT, OH 43125-9556
(614) 836-2466
Mailing address
402 HUNTLAND LN, WESTERVILLE, OH 43081-3525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
225800000X
Recreation Therapist
83340
WA
Other
Enumeration date
07/03/2024
Last updated
07/16/2024
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