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1295390599
SAMUEL EDWARD BANEY
HARTSELLE, AL
NPI
1295390599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 88964)
Enumeration Date
2019-05-02
Last Update Date
2022-10-17
Business Address
SAMUEL EDWARD BANEY LMFT
406 WOODFIELD ST SW
HARTSELLE, AL 35640-6003
Phone number: 909-336-3330
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Mailing Address
SAMUEL EDWARD BANEY LMFT
PO BOX 6300
CRESTLINE, CA 92325-6300
Phone number: 909-336-3330
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