Individual
AMANDA ANN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 SORRENTO DRIVE, HOLLAND, MI 49423
(616) 970-4172
Mailing address
5104 W GARBOW RD, MIDDLEVILLE, MI 49333-8231
(269) 509-2807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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