Individual
SAMANTHA MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 TRICKUM RD STE 200, WOODSTOCK, GA 30188-3680
(404) 682-9506
Mailing address
PO BOX 19982, ATLANTA, GA 30325-0982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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