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Individual

AMANDA BERNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
242 ELMWOOD ST NE, GRAND RAPIDS, MI 49505-4737
(616) 821-5840
Mailing address
242 ELMWOOD ST NE, GRAND RAPIDS, MI 49505-4737
(616) 821-5840

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801042466
MI
1041C0700X
Clinical Social Worker
Primary
6801107865
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801042466
LIC #
MI
Enumeration date
10/27/2010
Last updated
02/10/2026
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