Amy M Medina
Amy M Medina is a Social Worker in Fond Du Lac, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
459 E 1st StFond Du Lac, WI 54935-4505
Phone: (920) 929-3500
Fax: (920) 929-3129
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 9874-120 (WI) |
|---|
Record details
| NPI number | 1578347480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 22, 2023 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
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