| Amy Little Llc | |
|
1539 E 100 N Kokomo IN 46901-3413 | |
| (765) 450-5657 | |
| Not Available |
| Full Name | Amy Little Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1539 E 100 N, Kokomo, Indiana |
| Authorized Official Name and Position | Amy Little (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 7658607123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Little Llc 1539 E 100 N Kokomo IN 46901-3413 Ph: (765) 450-5657 | Amy Little Llc 1539 E 100 N Kokomo IN 46901-3413 Ph: (765) 450-5657 |
| NPI Number | 1457692295 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457692295 | NPI | - | NPPES |
| 1811214398 | Other | IN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005533A (Indiana) | Primary |
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