Individual
AMANDA AGUSTA CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 424-6069
Mailing address
7435 GRAND SUMMIT CIR, DAVISON, MI 48423-3182
(810) 588-7178
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851115938
MI
Other
Enumeration date
01/05/2023
Last updated
02/01/2023
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