SAMANTHA COBERT BOTHAST

ENCINO, CA
NPI1437644051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  19821)
Enumeration Date2018-06-26
Last Update Date2018-06-26
Business Address
SAMANTHA COBERT BOTHAST LCSW
16055 VENTURA BLVD STE 635
ENCINO, CA 91436-2609
Phone number: 818-456-6421
Mailing Address
SAMANTHA COBERT BOTHAST LCSW
16055 VENTURA BLVD STE 635
ENCINO, CA 91436-2609
Phone number: 818-456-6421
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