Individual
AMANDA JOEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42274 PARKSIDE CIR APT 102, STERLING HEIGHTS, MI 48314-3430
(586) 265-3753
Mailing address
42274 PARKSIDE CIR APT 102, STERLING HEIGHTS, MI 48314-3430
(586) 265-3753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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