Individual
SAMOEUTROEUTTEANA MAO BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1433 N WATER ST FL 4, MILWAUKEE, WI 53202-2557
(646) 941-7645
Mailing address
777 N JEFFERSON ST STE 408, MILWAUKEE, WI 53202-3713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10235-123
WI
1041C0700X
Clinical Social Worker
123003
MA
1041C0700X
Clinical Social Worker
4545
HI
Other
Enumeration date
06/21/2017
Last updated
10/29/2024
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