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Individual
MS. SAMANTHA J SABALA
Active
Individual
MS. SAMANTHA J SABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CCM
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW76308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
07/09/2020
Last updated
10/07/2020
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