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Individual

AMY MEDEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 MEADOWOOD DR, RANDOLPH, WI 53956-1318
(920) 326-2425
Mailing address
110 MEADOWOOD DR, RANDOLPH, WI 53956-1318
(920) 326-2425

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
603148
WI

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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