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Individual

AMANDA MARY RUECHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
4380 67TH DR # 1043, UNION GROVE, WI 53182-9338
(920) 588-8146
Mailing address
4380 67TH DR # 1043, UNION GROVE, WI 53182-9338
(920) 588-8146

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11695-123
WI

Other

Enumeration date
11/25/2021
Last updated
12/30/2025
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