Individual
MRS. AMY ELIZABETH PARK-GOEDDEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12151 15 MILE RD, STERLING HEIGHTS, MI 48312-5120
(248) 921-7649
Mailing address
13335 15 MILE RD # 258, STERLING HEIGHTS, MI 48312-4210
(248) 921-7649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801073707
MI
Other
Enumeration date
02/07/2007
Last updated
02/20/2026
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