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1982271649
SAMANTHA NICOLE THOMAS
DAVENPORT, FL
NPI
1982271649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-06-09
Last Update Date
2022-05-26
Business Address
SAMANTHA NICOLE THOMAS
121 WEBB DR STE 400
DAVENPORT, FL 33837-3904
Phone number: 863-438-6806
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Mailing Address
SAMANTHA NICOLE THOMAS
121 WEBB DR
DAVENPORT, FL 33837-3904
Phone number:
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