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Individual
MS. SAMANTHA A MANEWITZ
Active
Individual
MS. SAMANTHA A MANEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33006138A
IN
1041C0700X
Clinical Social Worker
Primary
118237
MA
1041C0700X
Clinical Social Worker
34006979A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12647745
CAQH ID
IN
Enumeration date
04/23/2012
Last updated
04/04/2014
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