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1528543147
SAMANTHA JO CALLICOAT
SAN DIEGO, CA
NPI
1528543147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
SAMANTHA JO CALLICOAT
1963 4TH AVE
SAN DIEGO, CA 92101-2394
Phone number: 619-233-3432
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Mailing Address
SAMANTHA JO CALLICOAT
1963 4TH AVE
SAN DIEGO, CA 92101-2394
Phone number: 619-233-3432
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