Individual
AMY TINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
42 COPPOLA TER, DERBY, CT 06418-1131
(203) 982-2638
(203) 982-2638
Mailing address
42 COPPOLA TER, DERBY, CT 06418-1131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7429
CT
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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