Individual
AMY JEAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
707 W 3RD ST, CONNERSVILLE, IN 47331-1577
(765) 827-1164
(765) 825-0215
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33008377A
IN
1041C0700X
Clinical Social Worker
Primary
34009503A
IN
Other
Enumeration date
09/06/2017
Last updated
11/17/2021
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