Individual
MS. AMANDA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5682
(616) 393-5682
Mailing address
111 E CASS ST, BANGOR, MI 49013-1409
(616) 450-7466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6801101351
MI
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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