Individual
SAMUEL HARRISON ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Mailing address
2570 HOARD ST, MADISON, WI 53704-4957
(908) 477-5707
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2127-124
WI
Other
Enumeration date
05/02/2021
Last updated
03/17/2026
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