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Individual

SAMANTHA LEE MULLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 56TH ST SE, CHARLESTON, WV 25304-2361
(304) 301-3975
Mailing address
1402 2ND AVE W, MONTGOMERY, WV 25136-2025
(304) 989-8344

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117767
WV

Other

Enumeration date
09/29/2023
Last updated
10/21/2023
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