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Individual

SAMUEL SCHARPF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SACIT

Contact information

Practice address
4000 W SPENCER ST, APPLETON, WI 54914-4015
(920) 735-9010
(920) 735-9050
Mailing address
4000 W SPENCER ST, APPLETON, WI 54914-4015
(920) 735-9010
(920) 735-9050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16408-130
WISCONSIN STATE LICENSE
WI
Enumeration date
12/13/2011
Last updated
12/13/2011
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