Individual
AMANDA REDMAN EVRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-2042
Mailing address
1607 KOHLER CT, WAUNAKEE, WI 53597-2605
(715) 614-4510
(608) 280-2042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9083-123
WI
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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