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1962142075
SAMANTHA JENSEN
MADISON, WI
NPI
1962142075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WI RBT-22-204995)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
SAMANTHA JENSEN RBT
KGH CONSULTATION AND TREATMENT INC., 3113 WEST BELTLINE HWY
MADISON, WI 53713
Phone number: 608-819-6910
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Mailing Address
SAMANTHA JENSEN RBT
KGH CONSULTATION AND TREATMENT INC 1161 LAKE COOK ROAD
DEERFIELD, IL 60015-5649
Phone number: 224-284-2240
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