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1417097700
AMY ELIZABETH PARK-GOEDDEKE
STERLING HEIGHTS, MI
NPI
1417097700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801073707)
Enumeration Date
2007-02-07
Last Update Date
2021-01-21
Business Address
Mrs. AMY ELIZABETH PARK-GOEDDEKE LMSW
12151 15 MILE RD
STERLING HEIGHTS, MI 48312-5120
Phone number: 248-921-7649
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Mailing Address
Mrs. AMY ELIZABETH PARK-GOEDDEKE LMSW
14499 DRESDEN DR
STERLING HEIGHTS, MI 48312-4341
Phone number: 586-939-1487
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