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1841846953
SAMANTHA MICHELE JACQUIN
NORTHRIDGE, CA
NPI
1841846953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 89665)
Enumeration Date
2019-08-14
Last Update Date
2023-10-17
Business Address
SAMANTHA MICHELE JACQUIN LCSW
10920 BAIRD AVE
NORTHRIDGE, CA 91326-2406
Phone number: 818-445-6236
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Mailing Address
SAMANTHA MICHELE JACQUIN LCSW
10920 BAIRD AVE
NORTHRIDGE, CA 91326-2406
Phone number: 818-455-6236
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