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Individual

SAMANTHA EMORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1420 CARLISLE BLVD NE STE 100, ALBUQUERQUE, NM 87110-5662
(855) 295-3276
(818) 241-6823
Mailing address
505 N BRAND BLVD STE 1000, GLENDALE, CA 91203-3924
(855) 295-3276
(818) 241-6823

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/05/2017
Last updated
10/05/2017
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