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Individual

AMANDA SPAGNUOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2875 EYDE PKWY, EAST LANSING, MI 48823-5399
(844) 969-0252
Mailing address
2511 ABBOTT RD, EAST LANSING, MI 48823-8502

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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