Individual
NICOLE MARGARET SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(256) 533-8477
Mailing address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(256) 533-8477
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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