Individual
SAMANTHA DINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
Mailing address
702 RACHEL ST, TROY, ID 83871-9668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
05/13/2024
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