Individual
AMY MUDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30330 HICKEY RD, CHESTERFIELD, MI 48051-3911
(586) 421-4062
Mailing address
30330 HICKEY RD, CHESTERFIELD, MI 48051-3911
(586) 421-4062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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