Samantha Marie Logallo

NPI #1972060523 in Islip, New York

Provider Information

NPI Number: 1972060523
Entity Type: Individual
Name: Samantha Marie Logallo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Mar 1, 2019
Last Updated: Mar 1, 2019

Practice Location

Address: 21 TAFT AVE
City: Islip
State: New York
ZIP Code: 11751-2111
Phone: (631) 356-6933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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