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Individual

AMY BURKHALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 372-3218
Mailing address
14715 HAVEN AVE, SPARTA, WI 54656-8290

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
9331-120
WI

Other

Enumeration date
05/17/2010
Last updated
05/17/2010
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