Individual
SAMANTHA MARIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
4540 US ROUTE 60, HUNTINGTON, WV 25705-1936
(304) 525-7111
(304) 525-7112
Mailing address
4540 US ROUTE 60, HUNTINGTON, WV 25705-1936
(304) 525-7111
(304) 525-7112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00946033
WV
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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