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1417265679
SAMANTHA WILSON
JAMAICA, NY
NPI
1417265679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 72081755)
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
Miss SAMANTHA WILSON LMSW
16318 JAMAICA AVE
JAMAICA, NY 11432-4901
Phone number: 718-206-3440
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Mailing Address
Miss SAMANTHA WILSON LMSW
11425 203RD ST
SAINT ALBANS, NY 11412-2814
Phone number:
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