Individual
SAMANTHA J SONNENTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5497 W WATERFORD LN, SUITE A, APPLETON, WI 54913-8509
(920) 750-6120
(920) 750-6121
Mailing address
W6065 JESSICA LN, APPLETON, WI 54915-7442
(920) 585-7639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1496-226
WI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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