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Individual

AMANDA SAMUELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1646 COWBOY CHAPS PL, HENDERSON, NV 89002-9341
(623) 341-1663
Mailing address
1646 COWBOY CHAPS PL, HENDERSON, NV 89002-9341

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI 0627
NV

Other

Enumeration date
08/07/2015
Last updated
08/07/2015
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