Individual
AMANDA L TOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1087 4 MILE RD NE, GRAND RAPIDS, MI 49525-2650
(616) 437-3906
Mailing address
1087 4 MILE RD NE, GRAND RAPIDS, MI 49525-2650
(616) 437-3906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
L154845
MI
1041C0700X
Clinical Social Worker
Primary
6801116573
MI
Other
Enumeration date
02/20/2015
Last updated
11/28/2023
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