Individual
AMY E STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
8006 WESTMINSTER DR, FORT WAYNE, IN 46835-4250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1600798
OH
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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