AMANDA E MAZARIEGOS

APPLETON, WI
NPI1912597592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  19340-130)
Enumeration Date2021-01-19
Last Update Date2022-05-19
Business Address
AMANDA E MAZARIEGOS
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
Mailing Address
AMANDA E MAZARIEGOS
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-733-4443
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