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Individual

MS. SAMANTHA INEZ AMBRICO-CUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-A

Contact information

Practice address
103 S HIGH ST, WEST CHESTER, PA 19382-3262
(484) 222-8697
Mailing address
603 NAYLORS RUN RD, HAVERTOWN, PA 19083-4521
(631) 807-5249

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC000130
PA

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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