Individual
SAMANTHA MARIE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SAGE CT, EDGEWOOD, NM 87015-8035
(505) 274-9069
Mailing address
19 SAGE CT, EDGEWOOD, NM 87015-8035
(505) 274-9069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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