Individual
SAMANTHA DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 ENSIGN RD NE STE B, LACEY, WA 98506-6104
(360) 705-9835
Mailing address
3627 ENSIGN RD NE STE B, LACEY, WA 98506-6104
(360) 705-9835
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61098824
WA
Other
Enumeration date
08/27/2014
Last updated
10/29/2021
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