Samantha L Moon
Samantha L Moon is a Clinical Social Worker in Athens, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
10715 State Route 691Athens, OH 45701-9154
Phone: (724) 650-0732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 1700620-SUPV (OH) |
|---|
Record details
| NPI number | 1689285124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2020 |
| Last updated in NPPES | August 10, 2020 |
| Certification date | August 10, 2020 |
| Mailing address | 10715 State Route 691, Athens, OH 45701-9154 |
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