Individual
AMANDA LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
42140 VAN DYKE AVE, SUITE 150, STERLING HEIGHTS, MI 48314-3677
(313) 410-5249
Mailing address
51785 ADLER PARK DR W, CHESTERFIELD, MI 48051-2342
(313) 410-5249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098104
MI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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