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Individual

AMANDA JOANN LUMSDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 NEWMAN ST, EAST TAWAS, MI 48730-1272
(231) 668-4909
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/07/2022
Last updated
06/07/2022
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