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1053941252
SAMANTHA E SMITH
GRASS VALLEY, CA
NPI
1053941252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1374571219)
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
SAMANTHA E SMITH RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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Mailing Address
SAMANTHA E SMITH RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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