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1215002712
SAMANTHA S IM
GILROY, CA
NPI
1215002712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF48794)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Mrs. SAMANTHA S IM M.A., MFTI
290 I O O F AVE
GILROY, CA 95020-5204
Phone number: 408-846-2402
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Mailing Address
Mrs. SAMANTHA S IM M.A., MFTI
4785 MERITAGE CT
GILROY, CA 95020-8854
Phone number: 408-846-2402
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