Individual
MS. AMY LYNN MAUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1315 W MAIN ST, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Mailing address
PO BOX 364, WATERTOWN, WI 53094-0364
(920) 261-4100
(920) 261-8801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7200123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14164
DEAN INS
—
01
—
2016162
PHYSICIANS PLUS INS
—
01
—
39184249630
UNITY INSURANCE WATERTOWN
WI
01
—
39184249631
UNITY INS LAKE MILLS
WI
05
—
40995200
—
WI
Enumeration date
08/03/2006
Last updated
07/08/2007
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