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Individual
SAMANTHA M BROPHY
Active
Individual
SAMANTHA M BROPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ART THERAPIST / LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104.036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104-036
WI ART THERAPY LICENSE
—
01
—
5300-125
WI LPC
WI
Enumeration date
04/10/2012
Last updated
11/24/2014
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