Individual
AMANDA ZALOKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17909-130
WI
104100000X
Social Worker
130498-121
WI
1041C0700X
Clinical Social Worker
Primary
9292-123
WI
Other
Enumeration date
01/16/2017
Last updated
04/08/2021
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