| Amanda S. Ngola Lcsw Llc | |
|
740 Regent St Ste 202 Madison WI 53715-2649 | |
| (608) 239-5071 | |
| Not Available |
| Full Name | Amanda S. Ngola Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 740 Regent St Ste 202, Madison, Wisconsin |
| Authorized Official Name and Position | Amanda Sims Ngola (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6082395071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda S. Ngola Lcsw Llc 740 Regent St Ste 202 Madison WI 53715-2649 Ph: (608) 239-5071 | Amanda S. Ngola Lcsw Llc 740 Regent St Ste 202 Madison WI 53715-2649 Ph: (608) 239-5071 |
| NPI Number | 1699164483 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699164483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6967-123 (Wisconsin) | Primary |
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