Individual
AMY M MUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4411 WASHINGTON AVE STE 300, EVANSVILLE, IN 47714-0900
(812) 479-1916
Mailing address
4411 WASHINGTON AVE STE 300, EVANSVILLE, IN 47714-0900
(812) 479-1916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99094502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200238820
—
IN
Enumeration date
09/16/2019
Last updated
09/16/2019
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