Individual
SAMANTHA DAWN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS-SUD
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(304) 320-2192
Mailing address
312 AUSTIN ST, PRINCETON, WV 24740-2781
(304) 320-2192
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-9215SUD
WV
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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