Individual
DERRICK DUANE AMPEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
626 WESTMORELAND AVE, LANSING, MI 48915-1969
(517) 702-2653
(517) 351-2733
Mailing address
626 WESTMORELAND AVE, LANSING, MI 48915-1969
(517) 702-2653
(517) 351-2733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801080800
MI
Other
Enumeration date
06/24/2006
Last updated
03/19/2008
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