Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | OH |
NPI | 1225528425 |
---|---|
Provider Name | Mrs. Samantha J Persinger |
First Address | Kent, OH 44240-8100 |
Second Address | Canton, OH 44702-2044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2018 |
Last Update Date | 14/05/2018 |