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1952026114
SAMANTHA BOUTIN
CLINTON TOWNSHIP, MI
NPI
1952026114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851108737)
Enumeration Date
2022-10-10
Last Update Date
2024-04-08
Business Address
SAMANTHA BOUTIN LLMSW
42669 GARFIELD RD
CLINTON TOWNSHIP, MI 48038-1653
Phone number: 800-395-3223
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Mailing Address
SAMANTHA BOUTIN LLMSW
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 800-395-3223
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