Individual
MS. AMANDA M IENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 SOUTH BLVD W STE 200, ROCHESTER HILLS, MI 48307-5184
(248) 844-6234
Mailing address
440 N WOLFE RD, SUNNYVALE, CA 94085-3869
(888) 688-9296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091171
MI
Other
Enumeration date
10/26/2012
Last updated
02/04/2022
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