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1437644051
SAMANTHA COBERT BOTHAST
ENCINO, CA
NPI
1437644051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 19821)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
SAMANTHA COBERT BOTHAST LCSW
16055 VENTURA BLVD STE 635
ENCINO, CA 91436-2609
Phone number: 818-456-6421
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Mailing Address
SAMANTHA COBERT BOTHAST LCSW
16055 VENTURA BLVD STE 635
ENCINO, CA 91436-2609
Phone number: 818-456-6421
Copy
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