Individual
AMANDA L STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 455-0102
Mailing address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 455-0102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851115227
MI
Other
Enumeration date
06/26/2017
Last updated
11/02/2022
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