Individual
AMY WONDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 723-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 720-2300
(715) 524-1554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15612-132
WI
104100000X
Social Worker
9038
WI
1041C0700X
Clinical Social Worker
Primary
9038
WI
Other
Enumeration date
10/02/2014
Last updated
02/15/2022
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