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Individual
MR. SAM J STEVENS
Active
Individual
MR. SAM J STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
RC00057211
WA
106H00000X
Marriage & Family Therapist
Primary
TO605
OR
Other
Enumeration date
04/20/2007
Last updated
10/19/2010
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