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Individual

MRS. SAMANTHA CLARKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
165 SCOTT AVE, MORGANTOWN, WV 26508-8839
(304) 292-1716
Mailing address
165 SCOTT AVE, MORGANTOWN, WV 26508-8839

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00945002
WV

Other

Enumeration date
06/21/2018
Last updated
06/21/2018
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