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1114419884
SAMANTHA QUACKENBUSH
ROCHESTER, NY
NPI
1114419884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 089972)
Enumeration Date
2018-05-30
Last Update Date
2018-05-30
Business Address
SAMANTHA QUACKENBUSH LMSW
1099 JAY ST STE 202
ROCHESTER, NY 14611-1153
Phone number: 585-328-0834
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Mailing Address
SAMANTHA QUACKENBUSH LMSW
1099 JAY ST STE 202
ROCHESTER, NY 14611-1153
Phone number: 585-328-0834
Copy
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