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Samantha Borges

Marriage & Family Therapist in Lodi, CA. Individual provider (NPI-1).

NPI number1982242137
StatusActive
Last updated in NPPESApr 10, 2024

Details

NPI
1982242137
Entity type
Individual (NPI-1)
Name
Samantha Borges
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2019
Certification date
Apr 10, 2024
Last updated
Apr 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist133577CAYes
106H00000X Marriage & Family Therapist–CA

Practice location

1305 E Vine St
Lodi, CA 95240-3179

Phone 209-224-7389

Mailing address

19582 Meadow View Dr
Woodbridge, CA 95258-9338

Phone 209-224-7389

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