Individual
SAMANTHA AGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2095 150TH ST., FAIRFIELD, IA 52556
(641) 895-2149
Mailing address
2095 150TH ST., FAIRFIELD, IA 52556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
081451
IA
1041C0700X
Clinical Social Worker
Primary
081451
IA
Other
Enumeration date
08/24/2016
Last updated
02/03/2026
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