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1548832942
SAMANTHA KODER
DEKALB, IL
NPI
1548832942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.107957)
Enumeration Date
2021-07-14
Last Update Date
2022-06-01
Business Address
SAMANTHA KODER
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
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Mailing Address
SAMANTHA KODER
PO BOX 1109
DEKALB, IL 60115-7109
Phone number:
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