AMANDA TENNYSON

OSHKOSH, WI
NPI1255115614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20352)
Enumeration Date2023-08-24
Last Update Date2023-08-24
Business Address
AMANDA TENNYSON SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
Mailing Address
AMANDA TENNYSON SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332