| Amy Sprague Champeau Ms, Lmft | |
|
102 10th St Racine WI 53403-1513 | |
| (262) 635-9355 | |
| Not Available |
| Full Name | Amy Sprague Champeau Ms, Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 102 10th St, Racine, Wisconsin |
| Authorized Official Name and Position | Amy Sprague Champeau (OWNER) |
| Authorized Official Contact | 2626359355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Sprague Champeau Ms, Lmft 102 10th St Racine WI 53403-1513 Ph: (262) 635-9355 | Amy Sprague Champeau Ms, Lmft 102 10th St Racine WI 53403-1513 Ph: (262) 635-9355 |
| NPI Number | 1346255817 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346255817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 552-124 (Wisconsin) | Primary |
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