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Individual
MRS. DENISE JOREEN AMMERMAN
Active
Individual
MRS. DENISE JOREEN AMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
73-080821
NY
1041C0700X
Clinical Social Worker
Primary
R73-080821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-1663311
STATE TAX ID #
NY
Enumeration date
03/22/2016
Last updated
05/28/2020
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