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1184145161
AMANDA R HARRIS
APPLETON, WI
NPI
1184145161
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Former Name
AMANDA R JESKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9352-123)
Enumeration Date
2017-06-29
Last Update Date
2021-10-18
Business Address
AMANDA R HARRIS LCSW
320 S. WALNUT ST.
APPLETON, WI 54911-5918
Phone number: 920-832-5270
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Mailing Address
AMANDA R HARRIS LCSW
PO BOX 22040
GREEN BAY, WI 54305-2040
Phone number: 920-445-7222
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