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1497069488
SAMANTHA MICHELLE SLACK
FENTON, MI
NPI
1497069488
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Former Name
SAMANTHA LANGSTAFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801093973)
Enumeration Date
2010-08-02
Last Update Date
2018-05-24
Business Address
SAMANTHA MICHELLE SLACK LMSW
1440 TORREY RD STE E
FENTON, MI 48430
Phone number: 999-999-9999
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Mailing Address
SAMANTHA MICHELLE SLACK LMSW
1440 TORREY RD STE E
FENTON, MI 48430-1340
Phone number:
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