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1851803696
SAMANTHA L MOOG
COLUMBIA, MO
NPI
1851803696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2020006111)
Enumeration Date
2017-11-02
Last Update Date
2022-08-04
Business Address
SAMANTHA L MOOG LCSW
807 FAIRVIEW AVE
COLUMBIA, MO 65201-4541
Phone number: 484-888-5359
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Mailing Address
SAMANTHA L MOOG LCSW
807 FAIRVIEW AVE
COLUMBIA, MO 65201-4541
Phone number: 484-888-5359
Copy
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