Individual
SAMANTHA RAE WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
Mailing address
2291 STATE HIGHWAY 153, KRONENWETTER, WI 54455-8209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130684-121
WI
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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