Individual
AMANDA LYNN BOLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
120 S MAIN ST STE C, MILFORD, MI 48381-1975
(248) 529-6383
Mailing address
7801 SUMMER BREEZE TRL, HOWELL, MI 48843-9594
(517) 375-5085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801107448
MI
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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