Individual
AMANDA BOERBOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 MARKETPLACE DR STE 101, FITCHBURG, WI 53719-5334
(608) 886-9595
Mailing address
9 FLAGSTAFF CT, MADISON, WI 53719-2402
(608) 206-4912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8426-226
WI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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