Individual
AMANDA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6075 LITTLE STUMP TRL, GAYLORD, MI 49735-7685
(989) 858-3213
Mailing address
6075 LITTLE STUMP TRL, GAYLORD, MI 49735-7685
(989) 858-3213
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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