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1578160255
SAMUEL RANDOLPH
LONG BEACH, CA
NPI
1578160255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 245897)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
Mr. SAMUEL RANDOLPH LMFT
1945 PALO VERDE AVE STE 203
LONG BEACH, CA 90815-3445
Phone number: 562-888-2649
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Mailing Address
Mr. SAMUEL RANDOLPH LMFT
375 REDONDO AVE # 258
LONG BEACH, CA 90814-8130
Phone number: 562-888-2649
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