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Individual

SAMIKQUA SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1751 S 115TH CT APT 101, WEST ALLIS, WI 53214-3779
(414) 573-4584
Mailing address
1751 S 115TH CT APT 101, WEST ALLIS, WI 53214-3779
(414) 573-4584

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18477
WI
104100000X
Social Worker
132328-121
WI
1041C0700X
Clinical Social Worker
Primary
12001
WI

Other

Enumeration date
03/28/2019
Last updated
05/21/2025
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