Individual
AMANDA GRACE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 MILLER RD, SWARTZ CREEK, MI 48473-1115
(734) 244-2014
Mailing address
310 COLEBROOK DR, CLINTON, MI 49236-9522
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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