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NPI Code Detail

MEDICARE: AMY LYNN KAMM L.I.C.S.W.

MEDICARE: AMY LYNN KAMM L.I.C.S.W.
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
11041C0700XClinical Social Worker108029MA

General Provider Information

NPI Number : 1245256726
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LYNN KAMM L.I.C.S.W.
Provider Business Mailing Address
First Line : 2 HUNTERS CT
Second Line :
City : ROCKPORT
State : MA
Zip : 01966-2113
Country : US
Telephone Number : 978-546-5138
Fax Number :
Provider Business Practice Location Address
First Line : 2 HUNTERS CT
Second Line :
City : ROCKPORT
State : MA
Zip : 01966-2113
Country : US
Telephone Number : 978-546-5138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 07/08/2007

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