Individual
AMANDA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
Mailing address
105 HALL ST UNIT A, TRAVERSE CITY, MI 49684-2288
(231) 922-4850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118986
MI
Other
Enumeration date
02/09/2018
Last updated
11/12/2024
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