IndividualActive
Amanda Tavs
NPI 1245353788 · Social Worker · Fond Du Lac, WI
Provider details
- NPI number
- 1245353788
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8371-120 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
50 N Portland St
Fond Du Lac, WI 54935-3412
Phone: (920) 906-5118
Approximate (ZIP-level) locationGet directions
Mailing address
50 N Portland St
Fond Du Lac, WI 54935-3412
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.