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Individual

AMEE MICKHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4001 MAIN ST APT 206, PHILADELPHIA, PA 19127-2142
(484) 393-5141
Mailing address
4001 MAIN ST APT 206, PHILADELPHIA, PA 19127-2142
(484) 393-5141

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021819
PA
1041C0700X
Clinical Social Worker
SW135739
PA

Other

Enumeration date
12/16/2018
Last updated
07/14/2021
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