Individual
SAMANTHA PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
996 W 800 S, PAYSON, UT 84651-2766
(801) 465-5111
Mailing address
996 W 800 S, PAYSON, UT 84651-2766
(801) 465-5111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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