Individual
AMANDA MARIE ESTIOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
Mailing address
555 BRUSH ST APT 1802, DETROIT, MI 48226-4333
(313) 622-0385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801107422
MI
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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