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Individual
SAMANTHA A OSWALD
Active
Individual
SAMANTHA A OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP60209043
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60209043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063791374
—
WA
Enumeration date
08/04/2011
Last updated
02/04/2013
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