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Individual

AMY ELIZABETH BOZZACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 720-2300
Mailing address
2622 TIROL CT, GREEN BAY, WI 54302-4946
(267) 614-6820

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7032-125
WI

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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