Individual
AMANDA K KALISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1111 W WISCONSIN ST, SPARTA, WI 54656-2233
(608) 269-6731
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15622
WI
1041C0700X
Clinical Social Worker
29548
MN
1041C0700X
Clinical Social Worker
Primary
8095
WI
Other
Enumeration date
11/19/2014
Last updated
12/20/2024
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