Individual
MRS. AMANDA RAE BATENBURG-DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801085919
MI
1041C0700X
Clinical Social Worker
Primary
6801085919
MI
Other
Enumeration date
11/21/2006
Last updated
03/02/2011
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