Individual
SAMANTHA VOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 209-4181
Mailing address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
NONE
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2018
Last updated
06/03/2019
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