Individual
MRS. AMY LOUISE SULKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
275 PROSPECT ST, THE PHOENIX SCHOOL, NORWOOD, MA 02062-1467
(781) 551-0399
Mailing address
45 SHAWMUT AVE, MANSFIELD, MA 02048-2243
(508) 641-2157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110749
MA
1041S0200X
School Social Worker
405572
MA
Other
Enumeration date
05/29/2012
Last updated
11/03/2016
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