Individual
AMY SOUTHWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37899 W 12 MILE RD STE 130, FARMINGTON HILLS, MI 48331-3038
(248) 476-2229
(248) 476-4434
Mailing address
37899 W 12 MILE RD STE 130, FARMINGTON HILLS, MI 48331-3038
(248) 476-2229
(248) 476-4434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801104245
MI
Other
Enumeration date
10/01/2019
Last updated
11/27/2023
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