Individual
SAMANTHA ROSE EASTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11672
NE
103T00000X
Psychologist
Primary
4016
WI
Other
Enumeration date
02/20/2018
Last updated
10/26/2023
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