Individual
SAMANTHA NELSON-ZIRZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3828 NAGAWICKA SHORES DR, HARTLAND, WI 53029-8819
(262) 391-0658
Mailing address
3828 NAGAWICKA SHORES DR, HARTLAND, WI 53029-8819
(262) 391-0658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
YOSAT
—
Enumeration date
06/18/2022
Last updated
06/18/2022
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