Individual
AMBER DRVODELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 W 13 MILE RD, ROYAL OAK, MI 48073-6515
(248) 549-4339
Mailing address
8642 SUPERIOR, CENTER LINE, MI 48015-1716
(586) 571-5850
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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