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Individual
SAMANTHA CHURCH
Active
Individual
SAMANTHA CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4157
SC
235Z00000X
Speech-Language Pathologist
Primary
7716
NC
Other
Enumeration date
12/20/2006
Last updated
02/04/2009
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