Individual
SAMANTHA ANN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
(262) 652-2931
Mailing address
PO BOX 1243, KENOSHA, WI 53141-1243
(262) 989-8509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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