Individual
AMANDA GUROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PLMHP, PMSW
Contact information
Practice address
9000 W WISCONSIN AVE STE 165, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Mailing address
9000 W WISCONSIN AVE STE 165, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7680
NE
1041C0700X
Clinical Social Worker
085242
NY
1041C0700X
Clinical Social Worker
Primary
11807-123
WI
Other
Enumeration date
06/28/2007
Last updated
07/16/2025
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