Individual
AMBER YKIMOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW, LLMSW
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
Mailing address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33008783A
IN
1041C0700X
Clinical Social Worker
Primary
6801099111
MI
Other
Enumeration date
03/18/2016
Last updated
11/20/2018
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