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Individual
MRS. SAMANTHA GINOCCHIO
Active
Individual
MRS. SAMANTHA GINOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
26895
MN
1041C0700X
Clinical Social Worker
Primary
17712
FL
1041C0700X
Clinical Social Worker
26895
MN
Other
Enumeration date
09/29/2020
Last updated
04/27/2023
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