Individual
AMANDA JAGOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
17715 BRADY, REDFORD, MI 48240-2117
(313) 242-3902
Mailing address
17715 BRADY, REDFORD, MI 48240-2117
(313) 242-3902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851118356
MI
Other
Enumeration date
07/08/2008
Last updated
10/13/2025
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