Individual
MS. SAMANTHA ASHLEY MALAMUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APL, NCSP
Contact information
Practice address
200 E NORTH AVE, BALTIMORE, MD 21202-4888
(410) 684-0490
Mailing address
4507 FOSTER AVE, BALTIMORE, MD 21224-3699
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
23414
MD
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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