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1750407110
LIZA M SAMPSON
DAYTONA BEACH, FL
NPI
1750407110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- LIZA M SAMPSON B.S.
1150 RED JOHN DR
DAYTONA BEACH, FL 32124-1016
Phone number: 386-236-1770
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Mailing Address
-- LIZA M SAMPSON B.S.
51A SEATON VALLEY PATH
PALM COAST, FL 32164-5364
Phone number: 386-236-1812
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