Individual
AMANDA HAVEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 FULTON ST E STE 524, GRAND RAPIDS, MI 49503-3269
(616) 209-8112
Mailing address
233 FULTON ST E STE 524, GRAND RAPIDS, MI 49503-3269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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