Samantha Lilly, | |
228 Shamrock Ln, Ronceverte, WV 24970-8380 | |
(304) 497-3900 | |
Not Available |
Full Name | Samantha Lilly |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 228 Shamrock Ln, Ronceverte, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962101527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | BP00946370 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Samantha Lilly, 278 Bumpy Rd, Nimitz, WV 25978 Ph: (304) 777-9049 | Samantha Lilly, 228 Shamrock Ln, Ronceverte, WV 24970-8380 Ph: (304) 497-3900 |
News Archive
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