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Individual

MRS. AMY LYNN SANTUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
45 N LAPEER ST, LAKE ORION, MI 48362
(248) 693-9614
Mailing address
1308 MOHAWK AVE, ROYAL OAK, MI 48067-4509
(586) 303-6204

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801085324
MI
104100000X
Social Worker
Primary
6801085324
MI

Other

Enumeration date
12/31/2007
Last updated
07/07/2020
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