Individual
AMY MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7045 S 12TH ST, PORTAGE, MI 49024-3804
(269) 720-7394
Mailing address
7045 S 12TH ST, PORTAGE, MI 49024-3804
(269) 720-7394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801094934
MI
1041C0700X
Clinical Social Worker
Primary
6801094934
MI
Other
Enumeration date
02/16/2015
Last updated
04/27/2026
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