Individual
AMANDA VARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 ROMENCE RD STE 245, PORTAGE, MI 49024-3613
(269) 615-7637
Mailing address
2659 GREEN OAK LN, KALAMAZOO, MI 49004-3768
(906) 396-9822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801109170
MI
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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