Individual
AMANDA HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4057 LOCH DR, HIGHLAND, MI 48357-2235
(248) 881-4517
Mailing address
4057 LOCH DR, HIGHLAND, MI 48357-2235
(248) 881-4517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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