Individual
AMANDA RAE EDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 N WAYNE RD STE 123, WESTLAND, MI 48185-1137
(734) 367-0469
Mailing address
8623 N WAYNE RD STE 123, WESTLAND, MI 48185-1137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103787
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2018
Last updated
03/14/2019
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