Organization
AMANDA L. TOLAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L TOLAR LMSW (OWNER/CLINICAL SOCIAL WORKER)
(616) 437-3906
Entity
Organization
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
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/28/2023
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