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Organization
WHOLE SELF COUNSELING GR LLC
Active
Organization
WHOLE SELF COUNSELING GR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WALDRON LMSW (OWNER)
(616) 322-8189
Entity
Organization
Contact information
Practice address
401 HALL ST SW STE 413, GRAND RAPIDS, MI 49503-4993
(616) 322-8189
Mailing address
1007 COOPER AVE SE, GRAND RAPIDS, MI 49507-1458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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