Individual
SAMUEL TAUBENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 N GRAND AVE STE 204, WAUKESHA, WI 53186-4841
(608) 520-0328
Mailing address
741 N GRAND AVE STE 204, WAUKESHA, WI 53186-4841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4165-226
WI
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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