Individual
KATHERINE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-3274
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945418
WV
Other
Enumeration date
02/20/2019
Last updated
02/27/2019
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