Individual
AMANDA J SANDBERGWIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHT
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/19/2021
Last updated
08/02/2022
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