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1215505706
SAMANTHA CLARK
TAMPA, FL
NPI
1215505706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW18383)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
SAMANTHA CLARK LCSW
18002 RICHMOND PLACE DR APT 323
TAMPA, FL 33647-1725
Phone number: 352-346-8572
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Mailing Address
SAMANTHA CLARK LCSW
18002 RICHMOND PLACE DR APT 323
TAMPA, FL 33647-1725
Phone number: 352-346-8572
Copy
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