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1518398064
SAMANTHA DAVIS
GASTONIA, NC
NPI
1518398064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC p008496)
Enumeration Date
2013-12-10
Last Update Date
2013-12-10
Business Address
-- SAMANTHA DAVIS LCSWA
415 W MAIN AVE
GASTONIA, NC 28052-3844
Phone number: 704-478-6093
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Mailing Address
-- SAMANTHA DAVIS LCSWA
415 W MAIN AVE
GASTONIA, NC 28052-3844
Phone number: 704-478-6093
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