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Individual
AMY D SOUTH
Active
Individual
AMY D SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0159311
NM
Other
Enumeration date
03/22/2012
Last updated
03/17/2018
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