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1104567783
SAMANTHA HAYNES
LONG BEACH, CA
NPI
1104567783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
SAMANTHA HAYNES
2101 MAGNOLIA AVE
LONG BEACH, CA 90806-4521
Phone number: 818-996-1051
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Mailing Address
SAMANTHA HAYNES
6022 VARIEL AVE
WOODLAND HILLS, CA 91367-3719
Phone number: 818-996-1051
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