Individual
MARYAM SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BRIDLE RUN TER, ALPINE, CA 91901-2631
(619) 515-2300
Mailing address
215 BRIDLE RUN TER, ALPINE, CA 91901-2631
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
232748
CA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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