Individual
SAMANTHA RAE PASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5415 SUGARLOAF PKWY STE 2208, LAWRENCEVILLE, GA 30043-7832
(770) 904-9148
Mailing address
2114 MYRTLE LN APT 3, DECATUR, GA 30033-5325
(734) 347-0002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1904036
OH
1041C0700X
Clinical Social Worker
Primary
—
GA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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