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Individual
SAMANTHA ANN LOONEY
Active
Individual
SAMANTHA ANN LOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19-QMHA-I-02781
OR
175T00000X
Peer Specialist
15-CRM-115
OR
Other
Enumeration date
11/18/2019
Last updated
03/16/2020
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