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Individual
SAMANTHA FAULKENDER
Active
Individual
SAMANTHA FAULKENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
79044
CA
104100000X
Social Worker
79044
CA
104100000X
Social Worker
Primary
95044
CA
Other
Enumeration date
01/31/2012
Last updated
09/03/2020
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