Individual
AMANDA RAYE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 CORPORATE DR, TROY, MI 48098-2614
(313) 224-0715
Mailing address
581 ALLEN ST, FERNDALE, MI 48220-2444
(810) 407-4882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401016693
MI
101YP2500X
Professional Counselor
Primary
6401018845
MI
Other
Enumeration date
07/26/2019
Last updated
12/03/2020
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