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Individual

SAMANTHA KRUGGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
131 PINECREST DR, BLUFFTON, SC 29910-7803
(330) 316-4030
Mailing address
131 PINECREST DR, BLUFFTON, SC 29910-7803
(330) 316-4030

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66022
SC

Other

Enumeration date
06/16/2023
Last updated
06/16/2023
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