Individual
MS. MARY ELIZABETH AMUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12425 KNOLL RD, STE 110 WEST GROVE CLINIC, ELM GROVE, WI 53122
(262) 780-9788
(262) 432-0045
Mailing address
8225 N POPLAR DR, FOX POINT, WI 53217
(414) 247-3720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2534125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39402800
—
WI
Enumeration date
09/21/2006
Last updated
07/08/2007
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