AMANDA RAE CLARK

DE PERE, WI
NPI1518732726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  11492-123)
Enumeration Date2023-11-17
Last Update Date2023-11-21
Business Address
AMANDA RAE CLARK LCSW
1325 ANGELS PATH
DE PERE, WI 54115-4050
Phone number: 920-338-2855
Mailing Address
AMANDA RAE CLARK LCSW
PO BOX 22040
GREEN BAY, WI 54305-2040
Phone number: 920-445-7210
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