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Individual

MS. SAMANTHA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LCMHC

Contact information

Practice address
126 SAWYER ST, SOUTH PORTLAND, ME 04106-2128
(704) 477-5212
Mailing address
126 SAWYER ST, SOUTH PORTLAND, ME 04106-2128
(704) 477-5212

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8344
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13856685
CAQH
NC
Enumeration date
04/01/2015
Last updated
06/03/2025
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