SearchOhio101YA0400X

Samantha Malloni, LCDCIII

NPI 1548835226 · on the registry since 2021 · sole proprietor

Practice

Address
120 May Dr
Harrison, OH 45030
Phone
(513) 738-7600
Fax
(513) 738-7601
Organisation at this address
State Line Treatment Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio