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1750761706
KELLY JEAN SAMSON
PUYALLUP, WA
NPI
1750761706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60551524)
Enumeration Date
2015-06-04
Last Update Date
2018-10-24
Business Address
KELLY JEAN SAMSON
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
KELLY JEAN SAMSON
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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