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1023535176
SAMANTHA ROJANASUPYA
LAKEWOOD, CA
NPI
1023535176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW120034)
Enumeration Date
2017-08-29
Last Update Date
2024-03-26
Business Address
SAMANTHA ROJANASUPYA
12350 DEL AMO BLVD
LAKEWOOD, CA 90715-1732
Phone number: 805-863-7193
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Mailing Address
SAMANTHA ROJANASUPYA
12350 DEL AMO BLVD APT 822
LAKEWOOD, CA 90715-1712
Phone number: 805-863-7193
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