Organization
AMY SPRAGUE CHAMPEAU MS, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SPRAGUE CHAMPEAU MS, LMFT (OWNER)
(262) 635-9355
Entity
Organization
Contact information
Practice address
102 10TH ST, RACINE, WI 53403-1513
(262) 635-9355
Mailing address
102 10TH ST, RACINE, WI 53403-1513
(262) 635-9355
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
552-124
WI
Other
Enumeration date
07/30/2006
Last updated
07/24/2013
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