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1215626593
SAMANTHA SIMMONS
COEUR D ALENE, ID
NPI
1215626593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LMSW-42943)
Enumeration Date
2023-05-03
Last Update Date
2023-10-12
Business Address
SAMANTHA SIMMONS
1044 NORTHWEST BLVD
COEUR D ALENE, ID 83814-2114
Phone number: 208-930-1740
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Mailing Address
SAMANTHA SIMMONS
1044 NORTHWEST BLVD
COEUR D ALENE, ID 83814-2114
Phone number: 208-930-1740
Copy
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