SAMANTHA GLENN

OSHKOSH, WI
NPI1740992916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-12-20
Last Update Date2022-12-20
Business Address
SAMANTHA GLENN
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
Mailing Address
SAMANTHA GLENN
225 MAIN ST APT 309
MENASHA, WI 54952-2729
Phone number: 920-289-0638