Individual
AMANDA LYNN ETLICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 ARCADE GLEN RD, RIPON, WI 54971-2100
(920) 539-0225
Mailing address
14 ARCADE GLEN RD, RIPON, WI 54971-2100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5860-125
WI
Other
Enumeration date
04/05/2013
Last updated
08/22/2023
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