Organization
AMANDA S. NGOLA LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SIMS NGOLA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(608) 239-5071
Entity
Organization
Contact information
Practice address
740 REGENT ST STE 202, MADISON, WI 53715-2649
(608) 239-5071
Mailing address
740 REGENT ST STE 202, MADISON, WI 53715-2649
(608) 239-5071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6967-123
WI
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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