Individual
MISS AMANDA C AGUILAR I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 N MICHIGAN AVE STE 5, SAGINAW, MI 48602-4751
(989) 401-9015
Mailing address
1320 N MICHIGAN AVE STE 5, SAGINAW, MI 48602-4751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802090107
BACHLOR LIMITED LICENSE SOCIAL WORK
—
Enumeration date
09/12/2019
Last updated
02/03/2020
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