Individual
MRS. AMANDA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20671 LANCASTER ST, HARPER WOODS, MI 48225-1635
(313) 286-6169
Mailing address
20671 LANCASTER ST, HARPER WOODS, MI 48225-1635
(313) 286-6169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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