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Individual

SAMANTHA HARENDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 BISHOPS WAY STE 132, BROOKFIELD, WI 53005-6214
(414) 909-2009
Mailing address
120 BISHOPS WAY STE 132, BROOKFIELD, WI 53005-6214
(414) 909-2009

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8555-125
WI

Other

Enumeration date
01/25/2021
Last updated
01/06/2026
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