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Individual

SAMANTHA M BROPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ART THERAPIST / LPC

Contact information

Practice address
2020 W WELLS STREET, MILWAUKEE, WI 53233
(414) 937-2251
(414) 937-2021
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2251
(414) 937-2021

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104.036
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104-036
WI ART THERAPY LICENSE
01
5300-125
WI LPC
WI
Enumeration date
04/10/2012
Last updated
11/24/2014
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