Amanda Clark
Social Worker in Athens, OH. Individual provider (NPI-1).
NPI number1982198511
StatusActive
Last updated in NPPESDec 14, 2020
Details
- NPI
- 1982198511
- Entity type
- Individual (NPI-1)
- Name
- Amanda Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2018
- Certification date
- Dec 14, 2020
- Last updated
- Dec 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | S.2001626-TRNE | OH | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
11 Graham DrAthens, OH 45701-1430
Phone 800-321-8293
Mailing address
Po Box 132Athens, OH 45701-0132
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