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1225501844
SAMANTHA JOLENE COOPER
SAN ANDREAS, CA
NPI
1225501844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 104493)
Enumeration Date
2019-01-07
Last Update Date
2019-01-07
Business Address
SAMANTHA JOLENE COOPER LMFT
23 WEST SAINT CHARLES
SAN ANDREAS, CA 95249
Phone number: 209-395-0955
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Mailing Address
SAMANTHA JOLENE COOPER LMFT
PO BOX 1443
VALLEY SPRINGS, CA 95252-1443
Phone number: 209-395-0955
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