Individual
AMY MOFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6717 STONE GLEN DRIVE, MIDDLETON, WI 53562
(608) 827-7100
Mailing address
6717 STONE GLEN DRIVE, MIDDLETON, WI 53562
(608) 827-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1892121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40936200
—
WI
Enumeration date
05/12/2008
Last updated
05/12/2008
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