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Organization
AMY SPRAGUE CHAMPEAU MS, LMFT
Active
Organization
AMY SPRAGUE CHAMPEAU MS, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SPRAGUE CHAMPEAU MS, LMFT (OWNER)
(262) 635-9355
Entity
Organization
Contact information
Practice address
102 10TH ST, RACINE, WI 53403-1513
(262) 635-9355
Mailing address
102 10TH ST, RACINE, WI 53403-1513
(262) 635-9355
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
552-124
WI
Other
Enumeration date
07/30/2006
Last updated
07/24/2013
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