Individual
AMANDA I WORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
983 SPAULDING AVE SE, ADA, MI 49301-3701
(616) 466-4790
Mailing address
2329 BURNING TREE DR SE, GRAND RAPIDS, MI 49546-5514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093737
MI
Other
Enumeration date
06/26/2017
Last updated
06/28/2017
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