Individual
AMY MARIE MANSFIELD
Active
Individual
AMY MARIE MANSFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
6801097309
MI
Other
Enumeration date
04/19/2013
Last updated
04/15/2020
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