Individual
AMANDA JOYCE BOLANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
207 1ST ST, JACKSON, MI 49201-2102
(517) 998-4673
(517) 998-0005
Mailing address
207 1ST ST, JACKSON, MI 49201-2102
(517) 998-4673
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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