Individual
AMY BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
PO BOX 294, GRAND RAPIDS, MI 49501-0294
(616) 224-7617
(616) 224-7593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801068387
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4483587
—
MI
Enumeration date
01/29/2007
Last updated
08/09/2024
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