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Individual

SAMANTHA NEWHAM

Active
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Individual

SAMANTHA NEWHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2405716
OH
2255A2300X
Athletic Trainer
ATR-001420
AZ

Other

Enumeration date
06/23/2022
Last updated
01/28/2024
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