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Individual

SAMANTHA NOELLE HARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
4103 DEVINE ST APT A3, COLUMBIA, SC 29205-2051
(916) 342-2871

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
05/01/2020
Last updated
05/01/2020
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