Individual
SAMANTHA LYNN CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(571) 252-1005
Mailing address
21000 EDUCATION CT, BROADLANDS, VA 20148-5526
(571) 252-1005
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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