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Individual

AMY KATHLEEN OSTREM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
741 N 1ST ST, WAUSAU, WI 54403-4721
(715) 675-3458
(715) 675-7238
Mailing address
741 N 1ST ST, WAUSAU, WI 54403-4721
(715) 675-3458
(715) 675-7238

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1735-226
WI
101YP2500X
Professional Counselor
Primary
5635-125
WI

Other

Enumeration date
04/18/2013
Last updated
05/13/2015
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