Individual
SAMANTHA J SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
617 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6223
(715) 839-5175
Mailing address
224 W GRANT AVE, EAU CLAIRE, WI 54701-6911
(715) 829-0212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WI
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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