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1083469316
SAMANTHA ANN MAYFIELD
PORTLAND, OR
NPI
1083469316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-04-19
Last Update Date
2024-04-19
Business Address
SAMANTHA ANN MAYFIELD
6003 SE 136TH AVE
PORTLAND, OR 97236
Phone number: 971-978-1268
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Mailing Address
SAMANTHA ANN MAYFIELD
2711 W POWELL BLVD APT O2112
GRESHAM, OR 97030-6556
Phone number: 971-203-1361
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