Individual
AMANDA POISSON BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 LAFAYETTE SE, STE 4000, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
(616) 685-5101
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6974
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801099205
MI
Other
Enumeration date
01/12/2016
Last updated
08/16/2024
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