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Individual
SAMANTHA SUE GINGERICH GOLEY
Active
Individual
SAMANTHA SUE GINGERICH GOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1901636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307150
—
OH
05
—
0332566
—
OH
Enumeration date
05/04/2018
Last updated
05/20/2019
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