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1366261695
AMANDA MARIE DEREWICZ
GREENFIELD, WI
NPI
1366261695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 11512-123)
Enumeration Date
2024-10-03
Last Update Date
2024-10-10
Business Address
AMANDA MARIE DEREWICZ LCSW
4131 W LOOMIS RD APT 120
GREENFIELD, WI 53221-2006
Phone number: 414-424-2445
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Mailing Address
AMANDA MARIE DEREWICZ LCSW
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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