Individual
SAMANTHA SPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1215 GEORGE TOWNE DR, PEWAUKEE, WI 53072-2731
(262) 691-3849
(262) 691-4287
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902359839
—
WI
Enumeration date
07/27/2016
Last updated
11/05/2021
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