Organization
WITHIN REACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SUSSEK (LCSW)
(608) 423-6636
Entity
Organization
Contact information
Practice address
169 STARK ST, RANDOLPH, WI 53956-1298
(608) 423-6636
Mailing address
302 CENTER ST, RANDOLPH, WI 53956-1326
(608) 423-6636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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