SAMANTHA NELSON

SHEBOYGAN, WI
NPI1194177832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16682-130)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
-- SAMANTHA NELSON
2842 S BUSINESS DR
SHEBOYGAN, WI 53081-6518
Phone number: 920-458-6527
Mailing Address
-- SAMANTHA NELSON
1310 22ND ST
TWO RIVERS, WI 54241-2649
Phone number: 920-629-7043
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