Individual
AMY BETH WEAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
W247S10395 CENTER DR, MUKWONAGO, WI 53149-9166
(262) 971-9100
(262) 662-5688
Mailing address
W344S10517 COUNTY RD E, MUKWONAGO, WI 53149-9552
(262) 745-7297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1931-123
WI
Other
Enumeration date
06/15/2011
Last updated
09/30/2013
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