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Individual

MRS. AMBER MARIE LEPOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
43740 N GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-1139
(185) 599-6226
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802086942
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801095641
MASTER OF SOCIAL WORK
MI
Enumeration date
06/10/2011
Last updated
12/07/2022
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