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1083294698
SAMANTHA M KOVATCH
MILWAUKEE, WI
NPI
1083294698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 9677-123)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
SAMANTHA M KOVATCH LCSW
1300 N JACKSON ST
MILWAUKEE, WI 53202-2602
Phone number: 414-467-1548
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Mailing Address
SAMANTHA M KOVATCH LCSW
552 N 62ND ST
WAUWATOSA, WI 53213-4170
Phone number: 920-207-9566
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