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1275252546
SAMANTHA BAUMGARDNER
VISALIA, CA
NPI
1275252546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1463210322)
Enumeration Date
2022-08-22
Last Update Date
2022-08-22
Business Address
SAMANTHA BAUMGARDNER RADT
1425 E WALNUT AVE
VISALIA, CA 93292-1415
Phone number: 559-625-4072
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Mailing Address
SAMANTHA BAUMGARDNER RADT
1425 E WALNUT AVE
VISALIA, CA 93292-1415
Phone number: 559-625-4072
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