Individual
AMANDA KAY JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30101 HOOVER RD, WARREN, MI 48093-6572
(586) 558-6868
(586) 558-6893
Mailing address
612 LYDIA LN, PONTIAC, MI 48341-1078
(219) 863-7844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018206
MI
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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