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Organization
OSHKOSH MARRIAGE AND FAMILY THERAPY CENTER, LLC
Active
Organization
OSHKOSH MARRIAGE AND FAMILY THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLARE ANDERSON PHD (OWNER/THERAPIST/SUPERVISOR)
(920) 479-1996
Entity
Organization
Contact information
Practice address
2211 OREGON ST STE N, OSHKOSH, WI 54902-7001
(920) 479-1996
(920) 479-1997
Mailing address
2211 OREGON ST STE N, OSHKOSH, WI 54902-7001
(920) 479-1996
(920) 479-1997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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