Individual
AMY GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
(920) 980-8404
Mailing address
3003 N RICHMOND ST, APPLETON, WI 54911-1148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
07/07/2022
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