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1255801882
SAMANTHA JEAN EVANS
LAKEWOOD, WA
NPI
1255801882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2018-11-27
Last Update Date
2021-09-11
Business Address
SAMANTHA JEAN EVANS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
SAMANTHA JEAN EVANS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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