Individual
AMANDA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
(517) 783-4164
Mailing address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
(517) 783-4164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086995
MI
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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