Individual
SAMANTHA MAE BORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
317 8TH ST SW, ORANGE CITY, IA 51041-1930
(712) 737-9444
Mailing address
317 8TH ST SW, ORANGE CITY, IA 51041-1930
(712) 737-9444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
130431
IA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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