Individual
NATHAN AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1515 PARAMOUNT DR, WAUKESHA, WI 53186-3959
(262) 923-0731
Mailing address
1515 PARAMOUNT DR, WAUKESHA, WI 53186-3959
(262) 923-0731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8323-123
WI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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