Individual
SAMANTHA DEBAUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4578 PAUL LN, GREEN BAY, WI 54313-2409
(920) 481-9100
Mailing address
4578 PAUL LN, GREEN BAY, WI 54313-2409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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