Individual
AMY SARA ADVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
Mailing address
7944 THORNHILL DR, YPSILANTI, MI 48197-6160
(734) 340-5161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740486422
CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)
—
01
—
P24010017
MEDICARE PROVIDER TRANSACTION ACESS NUMBER
—
Enumeration date
06/21/2007
Last updated
06/25/2008
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