Individual
AMIA LYNETTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(313) 784-1399
Mailing address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(313) 784-1399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851106092
MI
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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