Individual
SAMANTHA DENISE LEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 COLONEL GLENN HWY, DAYTON, OH 45435-0002
(937) 775-1000
Mailing address
673 NE 3RD AVE, FORT LAUDERDALE, FL 33304-2691
(561) 221-8452
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
12/22/2025
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