Individual
SAMANTHA WOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3186 LA AVENIDA DE SAN MARCOS, SANTA FE, NM 87507-0405
(505) 699-5141
Mailing address
3186 LA AVENIDA DE SAN MARCOS, SANTA FE, NM 87507-0405
(505) 699-5141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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