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1538529706
SAMANTHA MALOUGH
STOCKTON, CA
NPI
1538529706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- SAMANTHA MALOUGH
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
-- SAMANTHA MALOUGH
3405 RHONE DR
CERES, CA 95307-2262
Phone number: 209-735-8069
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