Individual
MRS. AMANDA MARGARET RUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 W RIVER DR, WEST BEND, WI 53090-1567
(262) 338-2717
Mailing address
W2021 FAIRFIELD LN, SHEBOYGAN, WI 53083-3205
(920) 287-6369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7746123
WI
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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