Individual
AMANDA RAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2215 FULLER RD, VA ANN ARBOR HEALTHCARE SYSTEM- SOCIAL WORK 122, ANN ARBOR, MI 48105-2335
(734) 769-7100
(734) 769-7412
Mailing address
320 S 3RD ST, BRIGHTON, MI 48116-1415
(810) 229-6240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801084831
MI
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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