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AMANDA MARIE ANHALT LCSW, CSAC

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1447758693
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW, CSAC
Status
Active

Contact & Location

Address
2600 KILEY WAY, PLYMOUTH, WI, 530735020
Phone
(920) 459-1494

Specialties & Taxonomies

Social Worker, Clinical Primary License: WI #8860-123
Counselor, Addiction (Substance Use Disorder) License: WI #16200-132

All Addresses

MAILING

PO BOX 735044

CHICAGO, IL, 606735044

(800) 326-2250

LOCATION

2600 KILEY WAY

PLYMOUTH, WI, 530735020

(920) 459-1494