Individual
AMANDA STANIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTCS
Contact information
Practice address
14267 OLD PINE LN, MISHAWAKA, IN 46545-1854
(574) 286-7146
Mailing address
14267 OLD PINE LN, MISHAWAKA, IN 46545-1854
(574) 286-7146
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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