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Individual
SAMANTHA BURROW
Active
Individual
SAMANTHA BURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61186952
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60689887
WA
Other
Enumeration date
11/05/2018
Last updated
01/28/2022
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