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1609391069
SAMANTHA COLLAZO
FORT WALTON BEACH, FL
NPI
1609391069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-08-07
Last Update Date
2023-01-18
Business Address
SAMANTHA COLLAZO
907 MAR WALT DR STE 2021
FORT WALTON BEACH, FL 32547-6756
Phone number: 850-496-6923
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Mailing Address
SAMANTHA COLLAZO
PO BOX 4111
SHALIMAR, FL 32579-4111
Phone number:
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