Individual
SAMANTHA LYNN KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2000 W STATE ST, COAL TOWNSHIP, PA 17866-2807
(570) 648-5752
Mailing address
525 MAHANTONGO ST APT 3, POTTSVILLE, PA 17901-3042
(570) 294-4610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW14193
PA
Other
Enumeration date
12/18/2024
Last updated
01/01/2025
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