MEDICARE: SAMANTHA MURO 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1255963229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA MURO LMSW

Provider Business Mailing Address
First Line	:	6160 RUMRILL ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-7103
Country	:	US
Telephone Number	:	702-420-0238
Fax Number	:

Provider Business Practice Location Address
First Line	:	6160 RUMRILL ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-7103
Country	:	US
Telephone Number	:	702-420-0238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2020
Last Update Date	:	08/28/2023

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Directions to “ SAMANTHA MURO LMSW” Practice Location

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