Individual
SAMANTHA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WASHINGTON ST, BRAINTREE, MA 02184-4729
(508) 678-2833
Mailing address
73 SUNSET BEACH RD, BRANFORD, CT 06405-5028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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