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Individual

SUSAN LAURA SAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 620-4050
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 454-8986

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC10658
ME

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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