Individual
ESTA AMANDA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1223
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(800) 872-8662
(608) 372-1223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107032
IA
104100000X
Social Worker
Primary
149.029335
IL
Other
Enumeration date
11/03/2021
Last updated
04/22/2026
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