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1740981703
JENNIFER HASTINGS SAMUELSON
SANTA ROSA, CA
NPI
1740981703
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Former Name
JENNIFER MARIE HASTINGS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
JENNIFER HASTINGS SAMUELSON
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
JENNIFER HASTINGS SAMUELSON
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Copy
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