| Samara Foundation | |
|
5587 Murray Ave Ste 205 Memphis TN 38119-0896 | |
| (901) 729-9767 | |
| Not Available |
| Full Name | Samara Foundation |
|---|---|
| Speciality | Social Worker |
| Location | 5587 Murray Ave Ste 205, Memphis, Tennessee |
| Authorized Official Name and Position | Brisa Samudio (OWNER) |
| Authorized Official Contact | 9017299767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samara Foundation 5587 Murray Ave Ste 205 Memphis TN 38119-0896 Ph: (901) 729-9767 | Samara Foundation 5587 Murray Ave Ste 205 Memphis TN 38119-0896 Ph: (901) 729-9767 |
| NPI Number | 1992587745 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992587745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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