Individual
AMANDA PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, MHP, CMHP
Contact information
Practice address
2703 DELLRIDGE DR, HOLT, MI 48842-9718
(810) 938-9931
Mailing address
2703 DELLRIDGE DR, HOLT, MI 48842-9718
(810) 938-9931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6801118594
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/14/2019
Last updated
04/28/2026
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