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1548205685
DANIELLE E SAMPLE
PEWAUKEE, WI
NPI
1548205685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 2476-057)
Enumeration Date
2006-06-20
Last Update Date
2007-07-08
Business Address
Mrs. DANIELLE E SAMPLE Psy.D.
161 W WISCONSIN AVE STE 2B
PEWAUKEE, WI 53072-3468
Phone number: 262-695-8857
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Mailing Address
Mrs. DANIELLE E SAMPLE Psy.D.
W243N5807 QUAIL RUN LN
SUSSEX, WI 53089-3680
Phone number: 262-695-8857
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