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Individual

MISS SAMM HARPER PANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13395 N MARANA MAIN ST BLDG B, MARANA, AZ 85653-7008
(520) 682-1091
(520) 682-4132
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-1091
(520) 682-4132

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AZ
106H00000X
Marriage & Family Therapist
Primary
LMFT-10161
AZ

Other

Enumeration date
07/09/2009
Last updated
05/14/2024
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