Individual
MRS. SAMANTHA O SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS,CPS
Contact information
Practice address
313 WATERFORD LNDG, MCDONOUGH, GA 30253-7709
(404) 661-0400
Mailing address
313 WATERFORD LNDG, MCDONOUGH, GA 30253-7709
(404) 661-0400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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