Individual
AMIE DEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 NAOMI ST, PLAINWELL, MI 49080-1257
(269) 552-0100
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801086242
MI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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