Individual
AMANDA SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802086998
MI
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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