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1548826449
SAMANTHA LEIGH THELEN
PLYMOUTH, MI
NPI
1548826449
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Former Name
SAMANTHA LEIGH KEMPF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-15
Last Update Date
2024-11-18
Business Address
Mrs. SAMANTHA LEIGH THELEN LMSW, CAADC
575 S MAIN ST STE 6
PLYMOUTH, MI 48170-1778
Phone number: 734-451-7800
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Mailing Address
Mrs. SAMANTHA LEIGH THELEN LMSW, CAADC
622 E GRAND RIVER
HOWELL, MI 48843
Phone number: 517-548-0081
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