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Organization
CORE PURPOSE THERAPY, LICENSED CLINICAL SOCIAL WORKER, PC
Active
Organization
CORE PURPOSE THERAPY, LICENSED CLINICAL SOCIAL WORKER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA LANKFORD HOUDA LCSW (CEO)
(858) 342-7485
Entity
Organization
Contact information
Practice address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(619) 880-0710
Mailing address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(858) 342-7485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64860
LCSW
CA
Enumeration date
08/05/2021
Last updated
08/05/2021
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