Individual
SAMUEL XAVIER COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 W CENTER ST, MILWAUKEE, WI 53210-2154
(414) 393-1099
Mailing address
3166 N PIERCE ST, MILWAUKEE, WI 53212-2129
(262) 899-0203
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134728-121
WI
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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