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Individual
SAMANTHA KOST
Active
Individual
SAMANTHA KOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1502379-SUPV
OH
1041C0700X
Clinical Social Worker
S1201332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172970
—
OH
01
—
I.1502379-SUPV
LICENSE
—
01
—
LE-00030583
LICENSE
—
Enumeration date
05/15/2013
Last updated
02/05/2020
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