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Individual

SAMANTHA PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
135 4TH AVE, HUNTINGTON, WV 25701-1219
(304) 525-5691
Mailing address
1409 SPRING VALLEY DR, HUNTINGTON, WV 25701-4341

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
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