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Individual

MS. AMY M FIALKOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4625 BECKLEY RD, BATTLE CREEK, MI 49015-7948
(269) 979-8119
Mailing address
206 ESPANOLA AVE, KALAMAZOO, MI 49004-1102
(269) 532-8234

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090897

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6801090897
MI
Enumeration date
07/08/2019
Last updated
04/25/2020
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