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1124501309
SAMANTHA VALLE
KENT, WA
NPI
1124501309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60641068)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
SAMANTHA VALLE CP60641068
515 W HARRISON ST STE 109
KENT, WA 98032-4403
Phone number: 206-226-9435
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Mailing Address
SAMANTHA VALLE CP60641068
34713 2ND LN S APT K134
FEDERAL WAY, WA 98003-8719
Phone number: 509-750-3859
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