Individual
AMY PLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A./LPE
Contact information
Practice address
641 E POPLAR AVE, SELMER, TN 38375-1828
(731) 645-5753
(731) 645-9885
Mailing address
364 FIRE TOWER RD, SELMER, TN 38375-2255
(731) 645-5753
(731) 645-9885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PE 11743
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4095634
BCBS PROVIDER NUMBER
TN
Enumeration date
08/30/2006
Last updated
07/09/2007
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