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Individual

COURTNEY SAMANIEGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1609 W LEA ST, CARLSBAD, NM 88220-3752
(575) 689-5624
Mailing address
1006 ALBERT ST, CARLSBAD, NM 88220-4528
(575) 689-5624

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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