Individual
AMANDA DEMERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 MASON ST # B310, DEARBORN, MI 48124-2231
(313) 949-4516
Mailing address
835 MASON ST # B310, DEARBORN, MI 48124-2231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801108155
MI
Other
Enumeration date
08/04/2019
Last updated
04/16/2021
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