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1710994868
SAMUEL ROGERS HOUSTON
MODESTO, CA
NPI
1710994868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 31930)
Enumeration Date
2006-08-02
Last Update Date
2010-11-22
Business Address
-- SAMUEL ROGERS HOUSTON LMFT
111 WRIGHT STREET
MODESTO, CA 95354-2435
Phone number: 209-579-0605
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Mailing Address
-- SAMUEL ROGERS HOUSTON LMFT
111 WRIGHT ST
MODESTO, CA 95354-0553
Phone number: 209-579-0605
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