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Individual

SAMANTHA MAIORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
(808) 677-2570
Mailing address
C/O BRIDGEPORT HOSPITAL REACH PROGRAM, 1558 BARNUM AVE., BRIDGEPORT, CT 06610-3238
(203) 384-3653
(203) 378-8578

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010141
CT
1041C0700X
Clinical Social Worker
LCSW-4134
HI
1041C0700X
Clinical Social Worker
LSW-2054
HI

Other

Enumeration date
08/21/2013
Last updated
12/26/2018
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