Individual
AMANDA ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 GENOA BUSINESS PARK DR STE 100, BRIGHTON, MI 48114-5328
(517) 882-3732
Mailing address
20500 EUREKA RD STE 200, TAYLOR, MI 48180-6394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096618
MI
1041S0200X
School Social Worker
6801096618
MI
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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