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Individual

AMANDA CONDIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1370 N OAKLAND BLVD STE 105, WATERFORD, MI 48327-1572
(248) 666-8870
(248) 666-5023
Mailing address
1370 N OAKLAND BLVD STE 105, WATERFORD, MI 48327-1572
(248) 666-8870
(248) 666-5023

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401016923
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/17/2018
Last updated
11/15/2018
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