Individual
ELISE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
(916) 344-0196
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 344-0199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
75759
CA
Other
Enumeration date
08/03/2011
Last updated
04/19/2017
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