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Individual

AMANDA DIANE DAWNRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RSST

Contact information

Practice address
313 MOROSS RD., GROSSE POINTE FARMS, MI 48236
(313) 487-4203
(734) 467-7646
Mailing address
313 MOROSS RD., GROSSE POINTE FARMS, MI 48236
(313) 487-4203
(734) 467-7646

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
382849658
MI
Enumeration date
03/01/2021
Last updated
06/15/2023
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