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Individual

LAYLIN SAMOEUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1117 S GRANT ST, STOCKTON, CA 95206-1626
(209) 851-6563
Mailing address
7934 DIANA MARIE DR, STOCKTON, CA 95210-2602
(209) 851-6563

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
10/29/2021
Last updated
08/12/2025
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