Individual
AMY MARIE WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2073 LAWRENCE DR, DE PERE, WI 54115-9106
(920) 351-3027
Mailing address
886 HUBBARD ST, GREEN BAY, WI 54303-2973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
524-140
WI
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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