Individual
AMANDA MOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10649 W PERKINSTOWN AVE, MEDFORD, WI 54451
(715) 785-7106
Mailing address
1350 14TH AVE, SUITE 6, GRAFTON, WI 53024-1990
(262) 780-1780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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