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NPI Code Detail

MEDICARE: AMY ZENN LMSW

MEDICARE: AMY ZENN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801101555MI

General Provider Information

NPI Number : 1669905592
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY ZENN LMSW
Provider Business Mailing Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 734-992-7700
Fax Number : 734-478-7358
Provider Business Practice Location Address
First Line : 204 E WASHINGTON ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-2070
Country : US
Telephone Number : 734-992-7700
Fax Number : 734-478-7358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2017
Last Update Date : 03/19/2019

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