Individual
SAMANTHA CACACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 N MAIN ST STE 201, THIENSVILLE, WI 53092-1606
(803) 606-1314
Mailing address
7103 SAUK CIR, MEQUON, WI 53092-8502
(803) 606-1314
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12025-123
WI
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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