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1508316118
SAMANTA BODDAPATI
COLUMBUS, OH
NPI
1508316118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OH P.07745)
Enumeration Date
2016-10-06
Last Update Date
2019-05-15
Business Address
SAMANTA BODDAPATI
380 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215-7508
Phone number: 614-355-8005
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Mailing Address
SAMANTA BODDAPATI
DEPT 781625
DETROIT, MI 48278-1625
Phone number: 614-355-8004
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