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NPI Code Detail

MEDICARE: SAMANTHA ANN DEHNER LMSW

MEDICARE: SAMANTHA ANN DEHNER LMSW
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 Worker108081TX

General Provider Information

NPI Number : 1477300671
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ANN DEHNER LMSW
Provider Business Mailing Address
First Line : 2239 SCRIPTURE ST
Second Line :
City : DENTON
State : TX
Zip : 76201-3707
Country : US
Telephone Number : 402-885-0033
Fax Number :
Provider Business Practice Location Address
First Line : 2449 FORT WORTH DR
Second Line :
City : DENTON
State : TX
Zip : 76205-7684
Country : US
Telephone Number : 940-312-7110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2024
Last Update Date : 05/04/2024

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