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1366719130
ERICKA SAM
CRESTVIEW, FL
NPI
1366719130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 10591)
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
Mrs. ERICKA SAM LCSW
259 E OAKDALE AVE
CRESTVIEW, FL 32539-3547
Phone number: 850-682-1234
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Mailing Address
Mrs. ERICKA SAM LCSW
259 E OAKDALE AVE
CRESTVIEW, FL 32539-3547
Phone number: 850-682-1234
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