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Organization

AMANDA L. TOLAR

Active
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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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