Individual
AMY DEPOTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1214
(616) 560-1562
Mailing address
360 E BELTLINE AVE NE STE 100, GRAND RAPIDS, MI 49506-1214
(616) 560-1562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801106729
MI
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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