Individual
MRS. ANDREA LYNN MCMANAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 409-4184
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801096844
MI
Other
Enumeration date
06/20/2014
Last updated
01/05/2018
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