Individual
AMBER FAGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 728-3400
Mailing address
716 DAVENPORT DR, DUNDEE, MI 48131-9402
(734) 634-1420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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