Individual
SAMANTHA ROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1459 ZEPOL RD APT 109, SANTA FE, NM 87507-7144
(715) 307-2734
Mailing address
1459 ZEPOL RD APT 109, SANTA FE, NM 87507-7144
(715) 307-2734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WI
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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