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1033935887
SAMANTHA NELSON
JACKSONVILLE, FL
NPI
1033935887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH26851)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
SAMANTHA NELSON
4243 SUNBEAM RD STE 1
JACKSONVILLE, FL 32257-8975
Phone number: 239-999-1029
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Mailing Address
SAMANTHA NELSON
PO BOX 748465
ATLANTA, GA 30374-8465
Phone number: 855-284-7483
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