Individual
AMANDA JEAN VANNUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S I 75 BUSINESS LOOP, GRAYLING, MI 49738-2008
(231) 268-0007
(231) 525-3170
Mailing address
124 WHISPERING PINES CT, ROSCOMMON, MI 48653-9326
(989) 390-6189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
02/16/2026
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