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Individual

AMY WILKS SAUSAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 W BROADWAY STE F, COLUMBIA, MO 65203-3842
(573) 214-0436
(573) 442-0606
Mailing address
3 BRADLEY RD, MORRISTOWN, NJ 07960-6954
(865) 405-1538

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/20/2020
Last updated
05/31/2021
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