Individual
PHILOMENE SAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 18TH ST NE, WASHINGTON, DC 20018-2721
(202) 629-2917
(202) 629-2797
Mailing address
109 WALDON RD, ABINGDON, MD 21009-2164
(701) 730-7098
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
05/01/2024
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