Individual
AMY KATHLEEN COSGROVE-EVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
19 ADAMS RD, BATTLE CREEK, MI 49015-4007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093771
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801093771
MICHIGAN LICENSE
MI
Enumeration date
07/15/2019
Last updated
10/30/2024
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