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1114689700
SAMARA HENDERSON
WARREN, OH
NPI
1114689700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
251S00000X
Enumeration Date
2021-10-11
Last Update Date
2024-07-30
Business Address
SAMARA HENDERSON
8000 BRIDLE LN NE
WARREN, OH 44484-1403
Phone number: 216-260-1405
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Mailing Address
SAMARA HENDERSON
2359 KNOLLWOOD AVE
YOUNGSTOWN, OH 44514-1525
Phone number: 216-260-1405
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