Individual
AMY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4030
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149020871
IL
1041C0700X
Clinical Social Worker
7631
TN
Other
Enumeration date
10/26/2015
Last updated
09/29/2023
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