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Individual
SAMANTHA RUST
Active
Individual
SAMANTHA RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2103085-SUPV
OH
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
I.2103085
OH
Other
Enumeration date
08/14/2018
Last updated
03/17/2023
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