Agan, Samantha

Agan, Samantha is an individual health care provider with primary practice located at 2095 150Th St. , Fairfield IA 52556. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Agan, Samantha can be contacted via phone (641) 895-2149.

Contact Information

Primary practice address
2095 150Th St. Fairfield IA 52556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 081451 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 081451 Iowa

Profile Details

NPI number 1598210114
LBN Legal business name Agan, Samantha
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Aug 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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