Individual
SAMANTHA MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(888) 736-3229
(304) 497-0156
Mailing address
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8066
(304) 486-8571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2269
WV
103T00000X
Psychologist
Primary
757
WV
Other
Enumeration date
09/21/2006
Last updated
02/17/2025
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