Individual
AMANDA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37899 W 12 MILE RD, SUITE 130, FARMINGTON HILLS, MI 48331-3048
(248) 476-2229
Mailing address
9057 NEWPORT WAY, LIVONIA, MI 48150-4171
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801090656
MI
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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