Individual
SAMANTHA WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19142 COFFINBERRY BLVD, FAIRVIEW PARK, OH 44126-1606
(857) 202-0490
Mailing address
PO BOX 1595, COLUMBUS, OH 43216-1595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/18/2018
Last updated
04/02/2025
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