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1376372839
SAMANTHA JO DOXTATOR
APPLETON, WI
NPI
1376372839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 8050226)
Enumeration Date
2024-07-31
Last Update Date
2024-08-02
Business Address
Mrs. SAMANTHA JO DOXTATOR MS, LPC-IT, NCC
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913-9407
Phone number: 920-234-6842
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Mailing Address
Mrs. SAMANTHA JO DOXTATOR MS, LPC-IT, NCC
1835 E EDGEWOOD DR STE 105107
APPLETON, WI 54913-9407
Phone number: 920-234-6842
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