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1750624938
SAMANTHA JANE CARROLL
BELLEVUE, WA
NPI
1750624938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CDP60115415)
Enumeration Date
2013-04-05
Last Update Date
2013-04-05
Business Address
-- SAMANTHA JANE CARROLL cdp
1412 140TH PL NE
BELLEVUE, WA 98007-3915
Phone number: 425-747-7892
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Mailing Address
-- SAMANTHA JANE CARROLL cdp
1412 140TH PL NE
BELLEVUE, WA 98007-3915
Phone number: 425-747-7892
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