Individual
MRS. SAMANTHA ROBISON GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 S 20TH ST, PADUCAH, KY 42001-7100
(270) 575-3247
(270) 908-4110
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258405
KY
Other
Enumeration date
01/28/2016
Last updated
09/14/2023
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