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Individual

AMBER SOUTHERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LLMSW

Contact information

Practice address
177 N BARLOW RD, HARRISVILLE, MI 48740-9607
(989) 736-8157
Mailing address
PO BOX 279, LINCOLN, MI 48742-0279
(989) 736-8157

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801085470
MI

Other

Enumeration date
04/10/2007
Last updated
12/15/2015
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