| Doctor Name: | DR. SAMANTHA EVERHART DUTTON |
| NPI Number: | 1407156094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 2590438 |
| Business Practice Address: | 322 S Cedar Ave South Pittsburg, TN - 373801306 |
| Business Phone Number: | 4234582292 |
| Business Fax Number: | |
| Mailing Address: | 1591 Brown Trace Rd, SOUTH PITTSBURG |
| State: | TN |
| Postal Code: | 373806264 |
| Phone Number: | 4234582292 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2010 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2590438 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |