Individual
AMANDA DEMASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6963 W KL AVE STE A, KALAMAZOO, MI 49009-8043
(269) 718-3399
Mailing address
15973 INDIAN VALLEY ST, SCHOOLCRAFT, MI 49087-9139
(269) 317-1501
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
MI
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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