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1336807742
SAMANTHA BANDSTRA
SOUTH PASADENA, CA
NPI
1336807742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 105417)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
SAMANTHA BANDSTRA ASW
205 PASADENA AVE
SOUTH PASADENA, CA 91030-2919
Phone number: 323-344-5536
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Mailing Address
SAMANTHA BANDSTRA ASW
205 PASADENA AVE
SOUTH PASADENA, CA 91030-2919
Phone number: 323-344-5536
Copy
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