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Individual

AMY EMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LICSW

Contact information

Practice address
222 MAIN ST STE 241, FARMINGTON, CT 06032-3623
(203) 340-4653
(203) 208-3549
Mailing address
222 MAIN ST STE 241, FARMINGTON, CT 06032-3623
(203) 340-4653
(203) 208-3549

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007892
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007892
STATE OF CT DEPT OF PUBLIC HEALTH
CT
01
122987
BOARD OF REGISTRATION OF SOCIAL WORKERS
MA
Enumeration date
06/25/2012
Last updated
01/22/2021
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