Individual
MISS AMANDA SARA GOLLHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW APSW
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
128423121
WI
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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