Individual
MRS. AMANDA ELIZABETH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2378 WOODLAKE DR STE 280, OKEMOS, MI 48864-6016
(517) 706-0421
(517) 706-0423
Mailing address
1504 HERRICK AVE NE, GRAND RAPIDS, MI 49505-5311
(734) 474-0188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006133
MI
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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