Individual
AMANDA R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 S. WALNUT ST., APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-2185
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9352-123
WI
Other
Enumeration date
06/29/2017
Last updated
10/18/2021
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