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1043938152
SAMUEL KEITH VANDERBURG
ARLINGTON, TX
NPI
1043938152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: TX 107145)
Enumeration Date
2022-08-16
Last Update Date
2022-08-16
Business Address
SAMUEL KEITH VANDERBURG LMSW
1109 N COOPER ST
ARLINGTON, TX 76011-5545
Phone number: 817-404-2207
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Mailing Address
SAMUEL KEITH VANDERBURG LMSW
102 TANGLEWOOD DR
MABANK, TX 75156-4148
Phone number: 903-603-4003
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