Individual
MS. AMY WIERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5060 CASCADE RD SE, SUITE D, GRAND RAPIDS, MI 49546
(616) 454-2911
(616) 454-1126
Mailing address
5060 CASCADE RD SE, SUITE D, GRAND RAPIDS, MI 49546
(616) 454-2911
(616) 454-1126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065351
MI
Other
Enumeration date
09/29/2006
Last updated
06/05/2009
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