Individual
AMY VASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
907 SYKES ST, ALBERT LEA, MN 56007-3405
(507) 377-8506
Mailing address
329 FARIBAULT RD, FARIBAULT, MN 55021-5780
(507) 334-1030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26658
MN
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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