Samantha Durietz

NPI #1144735713 in Benton, Illinois

Provider Information

NPI Number: 1144735713
Entity Type: Individual
Name: Samantha Durietz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 5, 2017
Last Updated: Dec 5, 2017

Practice Location

Address: 8501 VALLEY RD
City: Benton
State: Illinois
ZIP Code: 62812-4103
Phone: (309) 868-2725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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