Individual
AMANDA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1663 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1928
(269) 694-3001
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093270
MI
Other
Enumeration date
11/19/2014
Last updated
01/22/2025
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