Individual
AMANDA MARGARET REWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
(608) 443-5534
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
4195-226
WI
103T00000X
Psychologist
Primary
4106
WI
Other
Enumeration date
06/11/2019
Last updated
11/14/2022
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