AMANDA DIVIS

CLEVELAND, OH
NPI1962822577
Former NameAMANDA BOLTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I1501241)
Enumeration Date2014-04-22
Last Update Date2015-08-18
Business Address
-- AMANDA DIVIS LISW
3950 CHESTER AVE
CLEVELAND, OH 44114-4625
Phone number: 216-431-4131
Mailing Address
-- AMANDA DIVIS LISW
3950 CHESTER AVE
CLEVELAND, OH 44114-4625
Phone number: 216-431-4131
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