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1477121978
SAMANTHA LYNN DORUM
ALAMEDA, CA
NPI
1477121978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WA BACB500114)
Enumeration Date
2021-06-12
Last Update Date
2021-06-12
Business Address
SAMANTHA LYNN DORUM MS, BCBA
1025 ATLANTIC AVE STE 101
ALAMEDA, CA 94501-1188
Phone number: 510-268-8120
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Mailing Address
SAMANTHA LYNN DORUM MS, BCBA
4601 79TH AVENUE CT W
UNIVERSITY PLACE, WA 98466-3037
Phone number: 253-298-7295
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