Individual
AMANDA RUTH MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
22742 GODDARD RD, TAYLOR, MI 48180-4126
(313) 319-1259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803085776
MI
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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