Individual
AMANDA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
(269) 355-6621
Mailing address
23200 RED ARROW HWY, MATTAWAN, MI 49071-7774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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