Individual
SAMANTHA SUZANNE QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 HOLMES CT STE 100, POOLER, GA 31322-4801
(912) 254-4401
(912) 330-4319
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009768
GA
Other
Enumeration date
11/21/2022
Last updated
01/08/2026
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