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Individual

AMY LYNN SHIVES

Active
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Individual

AMY LYNN SHIVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17883
MD
1041C0700X
Clinical Social Worker
Q1-0001386
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203339900
MD
Enumeration date
10/27/2016
Last updated
05/26/2026
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