Individual
MRS. AMANDA ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5290 CRISTO DR NE, ROCKFORD, MI 49341-8815
(616) 202-2759
Mailing address
5290 CRISTO DR NE, ROCKFORD, MI 49341-8815
(616) 202-2759
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361001292
MI
Other
Enumeration date
03/25/2015
Last updated
08/05/2022
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