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Individual

SAMANTHA DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
3827 S TIMBERCREEK AVE, SPRINGFIELD, MO 65807-5685
(417) 507-2407
(417) 413-2763
Mailing address
2131 W REPUBLIC RD # 179, SPRINGFIELD, MO 65807-6152
(417) 507-2407
(417) 413-2763

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2015032102
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490026929
MO
Enumeration date
10/26/2015
Last updated
12/19/2025
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