Individual
HEATHER M AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
202 S PARK ST, PATIENT & FAMILY SERVICES, MADISON, WI 53715-1507
(608) 417-6027
Mailing address
202 S PARK ST, PATIENT & FAMILY SERVICES, MADISON, WI 53715-1507
(608) 417-6027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127613-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15649-130
STATE OF WISCONSIN
WI
Enumeration date
04/06/2009
Last updated
04/06/2009
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