Individual
SAMANTHA GRATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
9003 POLIFKA RD, WHITELAW, WI 54247-9782
(920) 403-0021
Mailing address
9003 POLIFKA RD, WHITELAW, WI 54247-9782
(920) 403-0021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8306
WI
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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