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1508047051
KIMALLY L. SAMUELS
ANTIOCH, CA
NPI
1508047051
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Former Name
KIMALLY L. JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 44594)
Enumeration Date
2007-11-26
Last Update Date
2018-03-17
Business Address
MISS KIMALLY L. SAMUELS MFT
2225 BUCHANAN RD STE H
ANTIOCH, CA 94509-4209
Phone number: 925-226-8780
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Mailing Address
MISS KIMALLY L. SAMUELS MFT
640 BAILEY RD # 482
BAY POINT, CA 94565-4306
Phone number: 925-226-8780
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