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1669881785
AMANDA KNUDTSON CAPTAIN
MADISON, WI
NPI
1669881785
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Former Name
AMANDA MARIE KNUDTSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 389-228)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- AMANDA KNUDTSON CAPTAIN
1191 N SHERMAN AVE
MADISON, WI 53704-4234
Phone number: 608-421-3239
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Mailing Address
-- AMANDA KNUDTSON CAPTAIN
1137 N SHERMAN AVE
MADISON, WI 53704-4234
Phone number: 608-421-3239
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MADISON BEHAVIORAL SERVICES, LLC