SAMANTHA ROSE HANSEN

PROVO, UT
NPI1275040271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-12-29
Last Update Date2017-12-29
Business Address
SAMANTHA ROSE HANSEN
151 S UNIVERSITY AVE
PROVO, UT 84601-4427
Phone number: 801-851-7127
Mailing Address
SAMANTHA ROSE HANSEN
151 S UNIVERSITY AVE
PROVO, UT 84601-4427
Phone number: 801-851-7127
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