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Individual

SAM SUVAR

Active
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Individual

SAM SUVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0600758
OH
1041C0700X
Clinical Social Worker
# S.0600758
OH
172V00000X
Community Health Worker
0600758
OH

Other

Enumeration date
11/26/2014
Last updated
04/05/2022
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