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AMY FISCHER LSW

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1922375666

Individual Registrant:
 AMY  FISCHER LSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
310 E TORRANCE AVE  PONTIAC, IL 61764-2748 US
Tel: 815-844-6109  Fax: 815-844-3561

Contact information for business:
310 E TORRANCE AVE  PONTIAC, IL 61764-2748 US
Tel: 815-844-6109  Fax: 815-844-3561

Registration Information:
NPI: 1922375666
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
IL150013093

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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