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Organization
SAMANTHA LEWIS
Active
Organization
SAMANTHA LEWIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA L LEWIS LPC-IT (OWNER)
(414) 216-3428
Entity
Organization
Contact information
Practice address
4550 S QUINCY AVE, MILWAUKEE, WI 53207-5223
(414) 216-3428
Mailing address
4550 S QUINCY AVE, MILWAUKEE, WI 53207-5223
(414) 216-3428
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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