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1861262008
SAMAIYAH FULLYLOVE
MESA, AZ
NPI
1861262008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-22423)
Enumeration Date
2024-01-08
Last Update Date
2024-07-08
Business Address
SAMAIYAH FULLYLOVE
1855 E SOUTHERN AVE STE 111
MESA, AZ 85204-5227
Phone number: 602-842-3130
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Mailing Address
SAMAIYAH FULLYLOVE
1855 E SOUTHERN AVE
MESA, AZ 85204-5241
Phone number: 602-842-3130
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