Individual
AMY C VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(262) 999-3495
Mailing address
5330 N NAVAJO AVE, GLENDALE, WI 53217-5035
(503) 277-3522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
1041C0700X
Clinical Social Worker
Primary
12156-123
WI
225700000X
Massage Therapist
15717
OR
Other
Enumeration date
11/20/2008
Last updated
03/20/2025
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