Individual
AMY POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 PROVINCE TER, MENASHA, WI 54952-7004
(920) 750-5560
Mailing address
1070 PROVINCE TER, MENASHA, WI 54952-7004
(920) 750-5560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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