Individual
SAMUEL D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7330 W LAYTON AVE, MILWAUKEE, WI 53220-3849
(414) 877-4570
(414) 817-8940
Mailing address
7330 W LAYTON AVE, MILWAUKEE, WI 53220-3849
(414) 877-4570
(262) 228-6257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7222
WI
Other
Enumeration date
06/19/2024
Last updated
06/20/2024
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