Individual
AMANDA ANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823-6322
(517) 258-0026
Mailing address
12759 CRESCENT DR, GRAND LEDGE, MI 48837-8919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022359
MI
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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