Individual
SAMANTHA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2700
Mailing address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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