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1023414729
SAMANTHA MARTIN
BOISE, ID
NPI
1023414729
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Former Name
SAMANTHA DOMINICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-30595)
Enumeration Date
2014-11-07
Last Update Date
2014-11-07
Business Address
-- SAMANTHA MARTIN LMSW
2316 N COLE RD SUITE A
BOISE, ID 83704-7365
Phone number: 208-323-2273
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Mailing Address
-- SAMANTHA MARTIN LMSW
1466 N INEZ PL
MERIDIAN, ID 83642-4098
Phone number:
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