Individual
AMY M HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
571 COUNTY ROAD A, GREEN LAKE, WI 54941-8630
(920) 294-4070
(920) 294-4139
Mailing address
PO BOX 588, GREEN LAKE, WI 54941-0588
(920) 294-4070
(920) 294-4139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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