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1497292619
SAMANTHA RENEE PELCAK
FORT DRUM, NY
NPI
1497292619
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Former Name
SAMANTHA RENEE JESSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: AZ PSY-004732)
Enumeration Date
2017-01-25
Last Update Date
2024-11-12
Business Address
DR. SAMANTHA RENEE PELCAK PH.D.
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-0215
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Mailing Address
DR. SAMANTHA RENEE PELCAK PH.D.
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-0215
Copy
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