Most Relevant Information
Provider Data
  | NPI Number: | 1003309816 | 
| Provider Name: | AMBER N TICKLE | 
| Entity Type: | Individual | 
| Taxonomy Code: | 104100000X | 
| Specialty: | Social Worker | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 06/07/2018 | 
| Last Updated: | 06/07/2018 | 
Provider Practice Location
  5982 RHODES RD
      
      KENT
      OH
      442408100
  Practice Location Phone/Fax
      | Phone: | 3306731347 | 
| Fax: | 
Provider Mailing Location
  5982 RHODES RD
      
      KENT
      OH
      442408100
  Provider Mailing Phone/Fax
      | Phone: | 3306731347 | 
| Fax: | 3306783677 |