Individual
SAMANTHA MCCANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(510) 776-0064
Mailing address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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