Individual
MS. AYANNA S. SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1601 SW ARCHER RD, PSY-116-A, GAINESVILLE, FL 32608-1135
(352) 376-1611
(386) 754-6386
Mailing address
195 SE VICTORIA GLN, LAKE CITY, FL 32025-9307
(386) 755-3016
(386) 754-6386
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW0000006831
TN
1041C0700X
Clinical Social Worker
Primary
CSW005001
GA
Other
Enumeration date
08/31/2006
Last updated
06/22/2015
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