Samantha Sussek

NPI #1013278548 in Randolph, Wisconsin

Provider Information

NPI Number: 1013278548
Entity Type: Individual
Name: Samantha Sussek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 31, 2012
Last Updated: Sep 15, 2020

Practice Location

Address: 169 STARK ST
City: Randolph
State: Wisconsin
ZIP Code: 53956-1298
Phone: (608) 423-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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