Individual
AMANDA KAY WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 W 5TH AVE, STE 205, NAPERVILLE, IL 60563-8965
(630) 779-0751
Mailing address
109 CRESCENT LN, SCHAUMBURG, IL 60193-5712
(303) 325-4047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015863
IL
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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