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Individual
SAMANTHA KOEBERLE
Active
Individual
SAMANTHA KOEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S2005450
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2020
Last updated
10/10/2020
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