SAMELLA JOLLY

APPLETON, WI
NPI1821669037
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  10231-123)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: IA  127301)
1041C0700X Social Worker, Clinical
(Licence: IN  34012465A)
1041C0700X Social Worker, Clinical
(Licence: IL  149.031153)
104100000X Social Worker
(Licence: WI  131275-121)
Enumeration Date2021-07-08
Last Update Date2026-07-24
Business Address
SAMELLA JOLLY LCSW
2800 E ENTERPRISE AVE STE 333
APPLETON, WI 54913-7889
Phone number: 920-200-5594
Mailing Address
SAMELLA JOLLY LCSW
2800 E ENTERPRISE AVE STE 333 SUITE 333
APPLETON, WI 54913-7889
Phone number: 920-200-5594