Individual
MARQUITA R SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CATSKILL LN, BONAIRE, GA 31005-5618
(478) 747-2381
Mailing address
112 CATSKILL LN, BONAIRE, GA 31005-5618
(478) 747-2381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
MSW011843
GA
Other
Enumeration date
01/25/2022
Last updated
04/21/2025
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