Individual
SAMANTHA MARIE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
705 5TH AVE SE, MOULTRIE, GA 31768-4910
(229) 502-9072
(229) 616-1055
Mailing address
705 5TH AVE SE, MOULTRIE, GA 31768-4910
(229) 502-9072
(229) 616-1055
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001979
GA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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