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1053932897
SAMANTHA A HUMPHREYS
COLUMBUS, OH
NPI
1053932897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-04
Last Update Date
2020-05-04
Business Address
SAMANTHA A HUMPHREYS QMHS BA CMS BA
195 N GRANT AVE
COLUMBUS, OH 43215-2855
Phone number: 440-260-8530
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Mailing Address
SAMANTHA A HUMPHREYS QMHS BA CMS BA
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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