Amanda Lynn Etlicher

NPI #1972846194 in Ripon, Wisconsin

Provider Information

NPI Number: 1972846194
Entity Type: Individual
Name: Amanda Lynn Etlicher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 5, 2013
Last Updated: Aug 22, 2023

Practice Location

Address: 14 ARCADE GLEN RD
City: Ripon
State: Wisconsin
ZIP Code: 54971-2100
Phone: (920) 539-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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