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Individual

AMANDA ROSE HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC, PMH-C

Contact information

Practice address
8320 W BLUEMOUND RD STE 209, WAUWATOSA, WI 53213-3367
(262) 549-6600
Mailing address
510 HIGHVIEW DR, SLINGER, WI 53086-9588
(608) 239-3975

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16234-132
WI
1041C0700X
Clinical Social Worker
Primary
8943-123
WI

Other

Enumeration date
05/26/2015
Last updated
03/25/2026
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