Individual
AMANDA KNUDTSON CAPTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1191 N SHERMAN AVE, MADISON, WI 53704-4234
(608) 421-3239
(608) 270-2238
Mailing address
1137 N SHERMAN AVE, MADISON, WI 53704-4234
(608) 421-3239
(608) 270-2238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
389-228
WI
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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