Most Relevant Information
Provider Data
| NPI Number: | 1003686767 |
| Provider Name: | SAMANTHA GRACE HALL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C.2305177-TRNE |
Most Important Dates
| Enumeration Date: | 01/04/2024 |
| Last Updated: | 01/04/2024 |
Provider Practice Location
10 S CLAY ST
MILLERSBURG
OH
446541329
Practice Location Phone/Fax
| Phone: | 3302750573 |
| Fax: |
Provider Mailing Location
368 E JACKSON ST
MILLERSBURG
OH
446541248
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |