Individual
DR. AMY CAROLE VLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
510 AZALEA DR, OXFORD, MS 38655-8114
(662) 236-6696
(662) 236-9146
Mailing address
106 DEER RUN S, OXFORD, MS 38655-6500
(662) 236-6696
(662) 236-4176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1034
MS
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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