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Individual
ALICE MARIE SAMPSON
Active
Individual
ALICE MARIE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA/CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
93-02-02
OR
1041C0700X
Clinical Social Worker
Primary
A3588
OR
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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