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1750084786
SAMANTHA WALLER
HOLLAND, OH
NPI
1750084786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 183892)
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
SAMANTHA WALLER CDCA
6202 TRUST DR
HOLLAND, OH 43528-8425
Phone number: 419-824-8462
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Mailing Address
SAMANTHA WALLER CDCA
6202 TRUST DR
HOLLAND, OH 43528-8425
Phone number: 419-824-8462
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