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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA ANNE MALL, LLMSW

Active

SAMANTHA ANNE MALL, LLMSW is a Radiologic Technologist healthcare provider located in SOUTHGATE, Michigan. NPI 1396337275 is currently active in the NPPES registry. Verify at CMS.

Radiologic Technologist · SOUTHGATE, MI

Registration Details

NPI Number
1396337275
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2021 (5.3207865070641 yrs)
Last Updated
Feb 14, 2023

Practice Information

Address
19401 NORTHLINE RD
SOUTHGATE, MI, 481952277
Browse MI providers · Browse ZIP 48195
Phone
7347857700
Primary Specialty
Radiologic Technologist
246ZI1000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.