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1043818271
SAMANTHA TAYLOR SOUTHARD
STATEN ISLAND, NY
NPI
1043818271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 014490)
Enumeration Date
2020-10-10
Last Update Date
2024-06-07
Business Address
SAMANTHA TAYLOR SOUTHARD LMHC
2285 VICTORY BLVD STE 1
STATEN ISLAND, NY 10314-6631
Phone number: 646-389-3797
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Mailing Address
SAMANTHA TAYLOR SOUTHARD LMHC
2285 VICTORY BLVD STE 1
STATEN ISLAND, NY 10314-6631
Phone number: 646-389-3797
Copy
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