Organization
AMY LITTLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LITTLE LCSW (SOLE MEMBER/OWNER)
(765) 860-7123
Entity
Organization
Contact information
Practice address
1539 E 100 N, KOKOMO, IN 46901-3413
(765) 450-5657
Mailing address
1539 E 100 N, KOKOMO, IN 46901-3413
(765) 450-5657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005533A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811214398
INDIVIDUAL NPI
IN
Enumeration date
03/04/2013
Last updated
03/04/2013
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