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1366964124
SAMANTHA JEAN DICKSON
PORT HURON, MI
NPI
1366964124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-13
Last Update Date
2020-11-18
Business Address
SAMANTHA JEAN DICKSON
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-455-0102
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Mailing Address
SAMANTHA JEAN DICKSON
3304 EMMETT RD
EMMETT, MI 48022-4511
Phone number: 810-689-8859
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