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Individual

SAMANTHA PONGRACZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 CLIFF CAVE RD, SAINT LOUIS, MO 63129-3650
(314) 635-7018
Mailing address
9632 HUBER RD, HILLSBORO, MO 63050-3708

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2024044870
MO

Other

Enumeration date
02/03/2026
Last updated
02/03/2026
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