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1962822577
AMANDA DIVIS
CLEVELAND, OH
NPI
1962822577
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Former Name
AMANDA BOLTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I1501241)
Enumeration Date
2014-04-22
Last Update Date
2015-08-18
Business Address
-- AMANDA DIVIS LISW
3950 CHESTER AVE
CLEVELAND, OH 44114-4625
Phone number: 216-431-4131
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Mailing Address
-- AMANDA DIVIS LISW
3950 CHESTER AVE
CLEVELAND, OH 44114-4625
Phone number: 216-431-4131
Copy
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