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Individual

AMANDA BLUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
365 SURRYSE RD STE 120, LAKE ZURICH, IL 60047-2679
(847) 320-1133
Mailing address
365 SURRYSE RD STE 120, LAKE ZURICH, IL 60047-2679
(847) 320-1133

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
Clinical Social Worker
Primary
150129013
IL

Other

Enumeration date
06/24/2025
Last updated
03/05/2026
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