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Individual

SAMANTHA JO JUVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
313 PRICE PL STE 212, MADISON, WI 53705
(608) 886-7686
Mailing address
313 PRICE PL STE 212, MADISON, WI 53705-3262
(608) 886-7686

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8954-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100082736
WI
Enumeration date
04/08/2016
Last updated
04/25/2019
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