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Individual
MRS. SAMANTHA ANNE FRAGA
Active
Individual
MRS. SAMANTHA ANNE FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW6627
FL
1041C0700X
Clinical Social Worker
Primary
SW6627
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765575400
—
FL
Enumeration date
04/25/2007
Last updated
04/25/2023
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