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1770791931
SAMANTHA FARGEON
GREENBRAE, CA
NPI
1770791931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 82031)
Enumeration Date
2007-05-20
Last Update Date
2019-02-04
Business Address
SAMANTHA FARGEON LCSW
501 VIA CASITAS
GREENBRAE, CA 94904-1993
Phone number: 415-464-1722
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Mailing Address
SAMANTHA FARGEON LCSW
625 EL DORADO AVE APT 206
OAKLAND, CA 94611-5075
Phone number: 510-326-1573
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