Individual
AMANDA ISUNZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
416 COLLEGE ST, BELOIT, WI 53511
(608) 365-1244
(608) 365-4097
Mailing address
416 COLLEGE ST, BELOIT, WI 53511-7100
(608) 365-1244
(608) 365-4097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
129624-121
WI
1041C0700X
Clinical Social Worker
Primary
9009-123
WI
Other
Enumeration date
02/11/2015
Last updated
09/06/2018
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