Provider Information for 1407255854
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Mrs. SAMANTHA LYNN DARNELL-TRACY LPC
Other Names:Former Name:Miss SAMANTHA LYNN DARNELL PLPCSex: Female
NPI: 1407255854
Last Updated: 2024-10-16
Certification Date: 2024-10-16
Certification Date: 2024-10-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407255854 | ||||||||
| Enumeration Date | 2014-08-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 402 S SILVER SPRINGS RD CAPE GIRARDEAU, MO 63703-7536 United States Phone: 573-334-1100 | Fax:573-651-4345 | ||||||||
| Primary Practice Address | 402 S SILVER SPRINGS RD CAPE GIRARDEAU, MO 63703-7536 United States Phone: 573-334-1100 | Fax:573-651-4345 | ||||||||
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