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1497577217
AMANDA LYNN KUBISTA OWEN
LA CROSSE, WI
NPI
1497577217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9421-123)
Enumeration Date
2024-10-31
Last Update Date
2024-11-26
Business Address
AMANDA LYNN KUBISTA OWEN MSW, LCSW
800 WEST AVE S
LA CROSSE, WI 54601-8806
Phone number: 608-785-0940
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Mailing Address
AMANDA LYNN KUBISTA OWEN MSW, LCSW
PO BOX 860912
MINNEAPOLIS, MN 55486-0912
Phone number: 507-284-2511
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