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Individual
SAMANTHA DE CARVALHO
Active
Individual
SAMANTHA DE CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018217446
—
MA
Enumeration date
04/28/2016
Last updated
10/29/2019
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