Individual
AMY PERRICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 TRAILS END ST, KALAMAZOO, MI 49001-4318
(269) 998-5035
Mailing address
1420 TRAILS END ST, KALAMAZOO, MI 49001-4318
(269) 998-5035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093346
MI
1041C0700X
Clinical Social Worker
CSW.09924405
CO
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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