Individual
AMY L GEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 WASHINGTON AVE., OSHKOSH, WI 54903
(920) 236-1267
Mailing address
P,O. BOX 2187, 220 WASHINGTON AVE., OSHKOSH, WI 54903
(920) 236-1267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15323-132
WI
104100000X
Social Worker
Primary
8880-120
WI
Other
Enumeration date
04/14/2011
Last updated
02/14/2014
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