Individual
EMILY SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3835 EDISON LAKES PKWY STE 200, MISHAWAKA, IN 46545-3462
(574) 210-0303
Mailing address
3835 EDISON LAKES PKWY STE 200, MISHAWAKA, IN 46545-3462
(574) 210-0303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99121443A
IN
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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