Individual
AMANDA RAE STORMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 W OUTER DR, DETROIT, MI 48235-3461
(313) 340-4442
Mailing address
26096 AIRLINE ST, TAYLOR, MI 48180-3918
(734) 752-9317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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