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Amanda Lynn Etlicher
Professional Counselor in Ripon, Wisconsin
NPI 1972846194

Amanda Lynn Etlicher is a Professional Counselor based in Ripon, WI and is specialized in Professional. Amanda Lynn Etlicher practices in Ripon, WI. The NPI Number for Amanda Lynn Etlicher is 1972846194 and holds a License No. 5860-125 (Wisconsin).

The current practice location address for Amanda Lynn Etlicher is 14 Arcade Glen Rd, Ripon, WI and can be reached out via phone at 920-539-0225.

Location: 14 Arcade Glen Rd, Ripon, WI, 54971-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972846194
Provider Name
Amanda Lynn Etlicher
Credential
Provider Entity Type
Individual
Gender
Female
Address
14 Arcade Glen Rd, Ripon, WI, 54971-2100
Phone Number
920-539-0225
Fax Number
Provider Enumeration Date
04/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14 Arcade Glen Rd
City
Ripon
State
Wisconsin
Zip
54971-2100
Phone Number
920-539-0225
Fax Number
person
Provider Business Mailing Address Details
Address
14 Arcade Glen Rd
City
Ripon
State
Wisconsin
Zip
54971-2100
Phone Number
920-539-0225
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5860-125 (Wisconsin)
Definition
Definition to come...
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