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NPI Code Detail

MEDICARE: SAMANTHA GILSON

MEDICARE:   SAMANTHA  GILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerI.2103224OH

General Provider Information

NPI Number : 1174061923
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA GILSON
Provider Business Mailing Address
First Line : 217 W 3RD ST
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-1414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 217 W 3RD ST
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-1414
Country : US
Telephone Number : 419-359-5176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 08/06/2025

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Directions to “ SAMANTHA GILSON ” Practice Location

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