Individual
MRS. SAMANTHA MANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
770 RITCHIE HWY STE W16, SEVERNA PARK, MD 21146-4158
(410) 294-0152
Mailing address
1460 STONEY POINT WAY, STONEY BEACH, MD 21226-2141
(434) 417-0142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19900
MD
Other
Enumeration date
05/29/2014
Last updated
06/10/2020
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