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1194125179
SAMANTHA DEATON
LACEY, WA
NPI
1194125179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA LF61098824)
Enumeration Date
2014-08-27
Last Update Date
2021-10-29
Business Address
SAMANTHA DEATON
3627 ENSIGN RD NE STE B
LACEY, WA 98506-6104
Phone number: 360-705-9835
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Mailing Address
SAMANTHA DEATON
3627 ENSIGN RD NE STE B
LACEY, WA 98506-6104
Phone number: 360-705-9835
Copy
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