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1255115614
AMANDA TENNYSON
OSHKOSH, WI
NPI
1255115614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 20352)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
AMANDA TENNYSON SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
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Mailing Address
AMANDA TENNYSON SAC-IT
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
Copy
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