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Individual

AMY MICHELLE LITTLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12140 SW 122ND PATH, MIAMI, FL 33186-5412
(786) 877-4465
Mailing address
12140 SW 122ND PATH, MIAMI, FL 33186-5412
(786) 877-4465

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222Q00000X
Developmental Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003813000
FL
05
767249700
FL
Enumeration date
02/06/2007
Last updated
09/13/2011
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