# SAMMY CHEBOLIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497294045
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | SW130259 | PA | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 01/16/2025