Individual
AMADOU O SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
1955 W BROADWAY STE 104, MONONA, WI 53713-3700
(608) 217-2650
Mailing address
1955 W BROADWAY STE 104, MONONA, WI 53713-3700
(608) 217-2650
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
133099-121
WI
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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