Individual
MRS. AMANDA LEIGH KONYNDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 510-4739
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 510-4739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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