Individual
AMANDA MANZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
630 S 36TH AVE, WAUSAU, WI 54401-3930
(855) 607-8242
Mailing address
630 S 36TH AVE, WAUSAU, WI 54401-3930
(855) 607-8242
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3590003863
WI
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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