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1457741795
SAMANTHA GRONDAHL
GRANTS PASS, OR
NPI
1457741795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-01-26
Last Update Date
2015-01-26
Business Address
-- SAMANTHA GRONDAHL
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
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Mailing Address
-- SAMANTHA GRONDAHL
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: 541-956-4943
Copy
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TRANSFORM YOUTH AND FAMILY COUNSELING, LLC