Individual
AMANDA MARIE PETERKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 N 72ND AVE STE 202, WAUSAU, WI 54401-9042
(715) 457-8122
(715) 230-4912
Mailing address
100 N 72ND AVE STE 202, WAUSAU, WI 54401-9042
(715) 457-8122
(715) 230-4912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12702-123
WI
1041C0700X
Clinical Social Worker
Primary
134488-121
WI
Other
Enumeration date
10/10/2023
Last updated
05/11/2026
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