Individual
AMANDA C SHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
727 8TH ST, BARABOO, WI 53913-1794
(608) 477-8556
Mailing address
727 8TH ST, BARABOO, WI 53913-1794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9745-123
WI
Other
Enumeration date
07/22/2019
Last updated
12/17/2021
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