Individual
SAMANTHA JO WOOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12335 WOODSIDE AVE, LAKESIDE, CA 92040-3015
(619) 390-2662
Mailing address
12335 WOODSIDE AVE, LAKESIDE, CA 92040-3015
(619) 390-2662
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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