Individual
CHARLES AMANZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3221
Mailing address
28425 BROOKS LN, SOUTHFIELD, MI 48034-2090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011279
MI
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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