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Contact Information

SAMANTHA DONOVAN
4385 MARYLAND AVE
SAINT LOUIS, MO63108-2703
 Phone: 504-896-2345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Home Administrator

376G00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA DONOVAN · (Female)

NPI Number 1689027278
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2016
Last updated 10/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 8079
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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