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1275230401
KHALILAH SAMUELS
OAKLAND, CA
NPI
1275230401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
KHALILAH SAMUELS
3845 TELEGRAPH AVE
OAKLAND, CA 94609-2419
Phone number: 510-784-5874
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Mailing Address
KHALILAH SAMUELS
3845 TELEGRAPH AVE
OAKLAND, CA 94609-2419
Phone number: 510-784-5874
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