Individual
MS. SAMANTHA KOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17515 W 9 MILE RD, STE 720, SOUTHFIELD, MI 48075-4403
(248) 423-1728
Mailing address
17515 W 9 MILE RD, STE 720, SOUTHFIELD, MI 48075-4403
(248) 423-1728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011947
MI
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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