Individual
SAMANTHA GRACE COWGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.ED.
Contact information
Practice address
1650 MADISON AVE STE 102, MANKATO, MN 56001-5471
(507) 345-7012
Mailing address
1650 MADISON AVE STE 102, MANKATO, MN 56001-5471
(507) 345-7012
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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