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1578060695
SAMANTHA POTTS
CALDWELL, ID
NPI
1578060695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 37567)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
SAMANTHA POTTS LMSW
923 GRANT ST
CALDWELL, ID 83605-4137
Phone number: 208-585-3375
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Mailing Address
SAMANTHA POTTS LMSW
923 GRANT ST
CALDWELL, ID 83605-4137
Phone number: 208-585-3375
Copy
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