Individual
AMANDA RENAE MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022327
MI
Other
Enumeration date
09/29/2020
Last updated
08/16/2022
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