Amanda Agnes Allen BSW

NPI 1477849321 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1477849321
Gender Female
Enumeration Date 06/20/2011
Last Updated 06/20/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
LA CROSSE WI, 54603-2378, US
Phone (608) 789-4894
Fax (608) 785-6315
Business Location
1914 30TH ST S
LA CROSSE WI, 54601-6908, US
Phone (608) 799-5963
Taxonomy Code 171M00000X
License State Wisconsin
License Number 1704-127
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According to our database, Ms. Amanda Agnes Allen BSW NPI is 1477849321, taxonomy code is 171M00000X and license number is 1704-127, license state is located at Wisconsin. Amanda Agnes Allen BSW physically located at 1407 Saint Andrew St Ste 100, La Crosse WI, 54603-2378. NPI Number Amanda Agnes Allen BSW has the Individual type.

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1477849321 NPI number is provided on an as is basis without warranty of any kind. 1477849321 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Agnes Allen BSW are for informational purposes only.