Individual
DEBORAH LOUISE AMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
12333 SOUTHAMPTON DR, FORT WAYNE, IN 46814-3279
(260) 672-0491
Mailing address
12333 SOUTHAMPTON DR, FORT WAYNE, IN 46814-3279
(260) 672-0491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004132A
IN
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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