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1679601660
AMY BETH TAKASHIMA
FORT CAMPBELL, KY
NPI
1679601660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013832)
Enumeration Date
2007-03-01
Last Update Date
2018-06-19
Business Address
Ms. AMY BETH TAKASHIMA LCSW
650 JOEL DR
FORT CAMPBELL, KY 42223
Phone number: 270-798-5931
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Mailing Address
Ms. AMY BETH TAKASHIMA LCSW
3054 CLYDESDALE DR
CLARKSVILLE, TN 37043-5401
Phone number: 931-237-0020
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