Individual
SAMANTHA MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-2719
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-2719
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-2864
HI
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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