Amanda Tavs

NPI #1245353788 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1245353788
Entity Type: Individual
Name: Amanda Tavs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 50 N PORTLAND ST
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-3412
Phone: (920) 906-5118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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