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1043987233
SAMANTHA BLACK
LAFAYETTE, CO
NPI
1043987233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CO 00001431)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
SAMANTHA BLACK LCSW
2594 TRAILRIDGE DR E
LAFAYETTE, CO 80026-3186
Phone number: 303-499-7740
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Mailing Address
SAMANTHA BLACK LCSW
2594 TRAILRIDGE DR E
LAFAYETTE, CO 80026-3186
Phone number: 303-499-7740
Copy
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