Individual
AMY MAYUR MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852089808
MI
1041C0700X
Clinical Social Worker
6802089808
MI
Other
Enumeration date
05/14/2018
Last updated
10/27/2021
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