Mixon, Amberly Jean

Mixon, Amberly Jean is an individual health care provider with primary practice located at 540 E Grand Ave , Beloit WI 53511-6314. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mixon, Amberly Jean can be contacted via phone (608) 368-8087.

Contact Information

Primary practice address
540 E Grand Ave Beloit WI 53511-6314
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 130393 Wisconsin

Profile Details

NPI number 1407401771
LBN Legal business name Mixon, Amberly Jean
Credentials APSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Aug 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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