Individual
AMANDA PRIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2186 WATER ST, PORT HURON, MI 48060-2543
(810) 216-9470
Mailing address
2186 WATER ST, PORT HURON, MI 48060-2543
(810) 216-9470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091317
MI
Other
Enumeration date
04/09/2009
Last updated
08/14/2023
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