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Individual

AMBER NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19401 NORTHLINE RD, BUILDING 5, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
235 SHOTKA ST, WESTLAND, MI 48186-5014
(248) 561-6367

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/26/2016
Last updated
07/26/2016
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