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1104552678
AMANDA LO
SUN PRAIRIE, WI
NPI
1104552678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 132067-121)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
AMANDA LO
1268 W MAIN ST
SUN PRAIRIE, WI 53590-1930
Phone number: 834-608-1122
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Mailing Address
AMANDA LO
1268 W MAIN ST
SUN PRAIRIE, WI 53590-1930
Phone number: 834-608-1122
Copy
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