Amanda Lynn Loose, BS, QIDP, QMHP
NPI #1053999383 in West Branch, Michigan
Provider Information
- NPI Number
- 1053999383
- Entity Type
- Individual
- Name
- Amanda Lynn Loose, BS, QIDP, QMHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Credential
- BS, QIDP, QMHP
- Enumeration Date
- Mar 30, 2021
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 511 GRIFFIN RD
- City
- West Branch
- State
- Michigan
- ZIP Code
- 48661-9251
- Phone
- (989) 345-5571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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