Individual
SAMANTHA COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7479 WALTON ST STE 4, ROCKFORD, IL 61108-4613
(331) 701-3520
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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