SAMANTHA RYAN WILSON

PUNTA GORDA, FL
NPI1134887250
Former NameSAMANTHA RYAN ROACH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH18559)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
SAMANTHA RYAN WILSON LMHC
24451 SANDHILL BLVD UNIT B
PUNTA GORDA, FL 33983-5214
Phone number: 941-347-8447
Mailing Address
SAMANTHA RYAN WILSON LMHC
1615 SW MARIPOSA DR
ARCADIA, FL 34266-8545
Phone number: 815-761-5454