Individual
AMANDA KEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4230
(920) 683-4908
Mailing address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4230
(920) 683-4908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20801
WI
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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