SAMANTHA GAIL LARSON

ALBUQUERQUE, NM
NPI1861981730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-05-07
Last Update Date2018-05-07
Business Address
SAMANTHA GAIL LARSON
11719 GALLANT FOX RD SE
ALBUQUERQUE, NM 87123-2591
Phone number: 505-604-1099
Mailing Address
SAMANTHA GAIL LARSON
11719 GALLANT FOX RD SE
ALBUQUERQUE, NM 87123-2591
Phone number: 505-604-1099
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