Individual
AMANDA MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
945 9TH ST, LAKE LINDEN, MI 49945-1100
(906) 483-1030
(906) 372-3230
Mailing address
135 E M35, GWINN, MI 49841-9160
(906) 483-1030
(906) 372-3230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801117921
MI
Other
Enumeration date
01/16/2024
Last updated
05/14/2026
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