Individual
SAMANTHA LEIBFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
702 S MADISON ST, LANCASTER, WI 53813-2186
(608) 723-4433
(608) 535-6862
Mailing address
702 S MADISON ST, LANCASTER, WI 53813-2186
(608) 723-4433
(608) 535-6862
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1689-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104168186
—
WI
Enumeration date
03/18/2013
Last updated
02/10/2020
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