Individual
MS. AMANDA L HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801090309
MI
104100000X
Social Worker
6802075772
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705242 TYPE 21
—
MI
Enumeration date
10/04/2006
Last updated
12/26/2014
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