Individual
AMANDA ROSE WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-6677
Mailing address
778 W MAPLEDALE AVE, HAZEL PARK, MI 48030-1044
(248) 990-4415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801106934
MI
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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