Individual
SAMANTHA DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 N 2200 W, SALT LAKE CITY, UT 84116-2922
(800) 469-7423
Mailing address
322 N 2200 W, SALT LAKE CITY, UT 84116-2922
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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