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Individual
SAMUEL ROBERT MYRICK
Active
Individual
SAMUEL ROBERT MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW007015
GA
1041C0700X
Clinical Social Worker
Primary
SW17232
FL
Other
Enumeration date
09/22/2016
Last updated
04/17/2026
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