Individual
SAMANTHA J SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16658-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
18368
WI
104100000X
Social Worker
131353
WI
1041C0700X
Clinical Social Worker
Primary
10174-123
WI
Other
Enumeration date
08/06/2019
Last updated
03/13/2023
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