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1659897304
SAMANTHA NANCY HENRY
SANTA MONICA, CA
NPI
1659897304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2017-08-15
Last Update Date
2017-08-15
Business Address
SAMANTHA NANCY HENRY
844 PICO BLVD
SANTA MONICA, CA 90405-1325
Phone number: 310-314-6200
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Mailing Address
SAMANTHA NANCY HENRY
909 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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