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1649007972
SAMANTHA RIDINGS CONDRA
JEFFERSONVILLE, IN
NPI
1649007972
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IN 34011444A)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
SAMANTHA RIDINGS CONDRA LCSW
1713 E 10TH ST
JEFFERSONVILLE, IN 47130-7100
Phone number: 812-258-0310
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Mailing Address
SAMANTHA RIDINGS CONDRA LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number:
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