Individual
MS. AMY KEMP WELLMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
300 TWINING ST, MONTGOMERY, AL 36112-6027
(334) 953-5430
Mailing address
42 MDG 300 S. TWININGS ST, MAXWELL AFB, MONTGOMERY, AL 36112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004187
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12283
STATE LICENCE
MD
01
—
CSW004187
STATE LICENSE
GA
Enumeration date
10/10/2006
Last updated
05/08/2018
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