Individual
MS. AMANDA MARIE TRUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 UNIVERSITY PARK BLDG D, MOUNT PLEASANT, MI 48858-4464
(989) 774-2529
Mailing address
1100 W CAMPUS DR APT 2, MOUNT PLEASANT, MI 48858-3738
(734) 552-7248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
T630066585328
MI
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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