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1942600077
SAMANTHA FARON
FORT WAYNE, IN
NPI
1942600077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-08-26
Last Update Date
2017-03-17
Business Address
SAMANTHA FARON MSW
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
SAMANTHA FARON MSW
2622 AVENUE C
SCOTTSBLUFF, NE 69361-1680
Phone number: 308-632-8547
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