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Search › Michigan › 372600000X

Amanda Axon

NPI 1760722599 · on the registry since 2013

Practice

Address
1001 Military St
Port Huron, MI 48060
Phone
(810) 985-5437
Fax
(180) 024-8156
Organisation at this address
Impact
Impact Services
Incorporation To Maximize Personal Achievement With Community Training
Incorporation To Maximize Personal Achievement With Community Training
Inferred from a shared address, not stated in the registry.
Clinicians at this address
87

Registry record

Primary taxonomy
372600000X
372600000X
Sex
Female
Record last updated
2013-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan