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Individual

MS. AMBER REI SAMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
7212 CLAGETT DR, HYATTSVILLE, MD 20785-1972
(630) 217-4698
Mailing address
7212 CLAGETT DR, HYATTSVILLE, MD 20785-1972
(630) 217-4698
(443) 773-5624

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
LGP8989
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38-3876389
MD
Enumeration date
02/13/2017
Last updated
03/11/2024
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