Individual
MRS. AMY SUE DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4561 MEADOWLAWN DR SE, KENTWOOD, MI 49512-5413
(616) 240-5711
Mailing address
4561 MEADOWLAWN DR SE, KENTWOOD, MI 49512-5413
(616) 240-5711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093753
MI
1041C0700X
Clinical Social Worker
3045640
MI
Other
Enumeration date
04/11/2013
Last updated
03/15/2024
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