Individual
AMANDA BOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3441
Mailing address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
03/07/2022
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