AMANDA CLARK

GREEN BAY, WI
NPI1639965353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19549)
Enumeration Date2025-04-18
Last Update Date2025-04-18
Business Address
AMANDA CLARK
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
AMANDA CLARK
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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