Individual
AMANDA HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW APSW
Contact information
Practice address
5420 W STATE ST, MILWAUKEE, WI 53208-2514
(414) 539-2000
Mailing address
5420 W STATE ST, MILWAUKEE, WI 53208-2514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130662
WI
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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