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1740684448
SAMANTHA BLACK
PORTLAND, OR
NPI
1740684448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
Ms. SAMANTHA BLACK M.A.
310 NE FLANDERS
PORTLAND, OR 97209
Phone number: 503-827-3949
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Mailing Address
Ms. SAMANTHA BLACK M.A.
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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