Individual
SAMUEL JOSEPH COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APSW
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Mailing address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
134134121
WI
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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