Amanda Tickle

NPI #1386162469 in Van Wert, Ohio

Provider Information

NPI Number: 1386162469
Entity Type: Individual
Name: Amanda Tickle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 8, 2017
Last Updated: May 16, 2019

Practice Location

Address: 1158 WESTWOOD DR
City: Van Wert
State: Ohio
ZIP Code: 45891-2449
Phone: (419) 238-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Case Manager/Care Coordinator	171M00000X

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