Individual
SAMANTHA PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
8718 WHITE OAK AVE, MUNSTER, IN 46321-2738
(219) 838-5250
Mailing address
403 N MAIN ST, HEBRON, IN 46341-8791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33010348A
IN
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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