Individual
SAMANTHA ANNE MALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
3751 NORTH DIXIE HIGHWAY MONROE, MONORE, MI 48162
(574) 226-5895
Taxonomy
Speciality
Code
Description
License number
State
246ZI1000X
Medical Illustrator
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/14/2023
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