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1558786236
AMANDA ELLISON
GRAND RAPIDS, MI
NPI
1558786236
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Former Name
AMANDA NOWAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095613)
Enumeration Date
2014-03-04
Last Update Date
2022-09-08
Business Address
Ms. AMANDA ELLISON LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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Mailing Address
Ms. AMANDA ELLISON LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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