Individual
MRS. SARA NICHOLE SCHMALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
19115 W CAPITOL DR, SUITE 117, BROOKFIELD, WI 53045-2754
(262) 781-0240
Mailing address
12506 W PARK AVE, NEW BERLIN, WI 53151-2663
(414) 745-3894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2508-226
WI
Other
Enumeration date
06/09/2016
Last updated
08/26/2016
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