Individual
SAMANTHA JO MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2703 W STATE ST, NEW CASTLE, PA 16101-8671
(724) 657-3303
(724) 657-3326
Mailing address
2703 W STATE ST, NEW CASTLE, PA 16101-8671
(724) 657-3303
(724) 657-3326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127264
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12766634
MULTIPLAN
—
01
—
251830792
INTERGROUP CORP
—
Enumeration date
07/31/2009
Last updated
08/09/2010
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