Individual
MRS. AMANDA JAYNE DOLAN
Active
Individual
MRS. AMANDA JAYNE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802088428
MI
1041C0700X
Clinical Social Worker
Primary
6801119543
MI
Other
Enumeration date
01/27/2015
Last updated
12/28/2024
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