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1053736199
SAMANTHA FREDERICK
CLARKSTON, WA
NPI
1053736199
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Former Name
SAMANTHA GORMSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-02-26
Last Update Date
2020-09-11
Business Address
SAMANTHA FREDERICK
900 7TH STREET
CLARKSTON, WA 99403
Phone number: 509-758-3341
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Mailing Address
SAMANTHA FREDERICK
900 7TH STREET
CLARKSTON, WA 99403
Phone number: 509-758-3341
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