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1992152557
SAMANTHA L CASTRO
SHEBOYGAN, WI
NPI
1992152557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 130-17635)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
SAMANTHA L CASTRO SAC-IT
2842 S BUSINESS DR
SHEBOYGAN, WI 53081-6518
Phone number: 920-458-6527
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Mailing Address
SAMANTHA L CASTRO SAC-IT
210 E MELVIN AVE
OSHKOSH, WI 54901-3850
Phone number: 920-458-6527
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