Jacquelynn Amalfitano, MSW, LLMSW
Specialist/Technologist, Athletic Trainer in Detroit, MI. Individual provider (NPI-1).
NPI number1215216015
StatusActive
Last updated in NPPESJun 28, 2013
Details
- NPI
- 1215216015
- Entity type
- Individual (NPI-1)
- Name
- Jacquelynn Amalfitano
- Credential
- MSW, LLMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2011
- Last updated
- Jun 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 6801093009 | MI | Yes |
Practice location
12800 E Warren AveDetroit, MI 48215-2061
Phone 248-423-1728
Mailing address
24925 Beck AveEastpointe, MI 48021-1463
Phone 586-872-4633
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