Individual
AMBER FATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRC
Contact information
Practice address
21061 19 MILE RD, BIG RAPIDS, MI 49307-9267
(231) 527-2000
Mailing address
150 S STEWART AVE, BIG RAPIDS, MI 49307-3208
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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