SAMANTHA DANIELLE TALLON

MODESTO, CA
NPI1063021368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  137293)
Enumeration Date2020-07-23
Last Update Date2023-09-07
Business Address
SAMANTHA DANIELLE TALLON
1101 M ST
MODESTO, CA 95354-0755
Phone number: 209-522-9568
Mailing Address
SAMANTHA DANIELLE TALLON
PO BOX 4741
MODESTO, CA 95352-4741
Phone number: 209-900-2371
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