Individual
AMY DANIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 HEDGEWOOD DR, MIDLAND, MI 48640-1928
(989) 631-9670
Mailing address
2209 RAMBLE LN, MIDLAND, MI 48640-6704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01113584
MI
Other
Enumeration date
11/29/2013
Last updated
11/29/2013
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