Individual
AMANDA GRACE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
503 CENTURY LN STE 1, HOLLAND, MI 49423-4318
(616) 795-0298
Mailing address
36 W 8TH ST STE 250, HOLLAND, MI 49423-2708
(616) 805-0953
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851118740
MI
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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