Individual
SAMANTHA A BYRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BRUIN DR, WELLSBURG, WV 26070-3064
(304) 527-1410
Mailing address
29 BRUIN DR, WELLSBURG, WV 26070-3064
(304) 527-1410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
A9M142800217
WV
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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