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NPI Code Detail

MEDICARE: AMANDA MCNEELY LSW

MEDICARE: AMANDA MCNEELY LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.0032066OH

General Provider Information

NPI Number : 1255670253
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MCNEELY LSW
Provider Business Mailing Address
First Line : 311 MARTIN LUTHER KING DR E
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2581
Country : US
Telephone Number : 513-475-5343
Fax Number :
Provider Business Practice Location Address
First Line : 311 MARTIN LUTHER KING DR E
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-2581
Country : US
Telephone Number : 513-475-5343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2013
Last Update Date : 03/21/2018

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