Individual
SAMANTHA JACKLYN MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
610 WOODMERE AVE, TRAVERSE CITY, MI 49686-3103
(231) 735-3095
Mailing address
106 RINGNECK LN, BUCKLEY, MI 49620-9477
(231) 735-3095
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
85003
MI
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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