Individual
AMY COULTER SCHULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-4202
Mailing address
889 HOPE ST, BRISTOL, RI 02809-1108
(504) 417-0774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW229067
MA
251S00000X
Community/Behavioral Health Agency
14218
LA
Other
Enumeration date
04/18/2018
Last updated
12/02/2024
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