Individual
COREY AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPSW
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134276-121
WI
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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