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1093203341
SAMANTHA ELIZABETH HEUWAGEN
ALPHARETTA, GA
NPI
1093203341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA MFT001641)
Enumeration Date
2018-04-23
Last Update Date
2018-08-17
Business Address
SAMANTHA ELIZABETH HEUWAGEN MFT
286 S MAIN ST STE 100
ALPHARETTA, GA 30009
Phone number: 248-660-0487
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Mailing Address
SAMANTHA ELIZABETH HEUWAGEN MFT
286 S MAIN ST STE 100
ALPHARETTA, GA 30009-1943
Phone number: 248-660-0487
Copy
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