Organization
SAMARA CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRISA SAMUDIO LCSW (OWNER)
(310) 879-5554
Entity
Organization
Contact information
Practice address
5587 MURRAY AVE STE 205, MEMPHIS, TN 38119-0896
(310) 879-5554
Mailing address
5587 MURRAY AVE STE 205, MEMPHIS, TN 38119-0896
(310) 879-5554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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