Individual
AMY DEMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 726-1875
(616) 243-2302
Mailing address
1347 FISK RD SE, GRAND RAPIDS, MI 49506-3240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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