Individual
AMANDA MICHELLE DAVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
151 W GRAND RIVER AVE, OKEMOS, MI 48864-3101
(517) 896-5824
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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