Individual
MRS. AMY MICHELLE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1910 COUNTY ROAD NN, ELKHORN, WI 53121-4454
(262) 741-3200
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
(262) 741-3200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8321-123
WI
Other
Enumeration date
02/27/2018
Last updated
08/04/2023
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