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Individual
SAMANTHA R BISSELL
Active
Individual
SAMANTHA R BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16276
BCBSNC
NC
01
—
30111355
SELECT HEALTH OF SC
SC
05
—
7413417
—
NC
01
—
9276831
AENTA
—
05
—
SAN084
—
SC
Enumeration date
08/16/2010
Last updated
04/23/2012
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