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1265007637
AMANDA JOANNE DESANTIS
TROY, MI
NPI
1265007637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6352000397)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
AMANDA JOANNE DESANTIS MA, TLLP
1777 AXTELL DR STE 100
TROY, MI 48084-4400
Phone number: 248-787-3831
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Mailing Address
AMANDA JOANNE DESANTIS MA, TLLP
24365 BUCHANAN CT APT 1943
FARMINGTON HILLS, MI 48335-2147
Phone number: 718-887-5602
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