Individual
SAMANTHA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W HIGHWAY 90, MONTICELLO, KY 42633-2460
(606) 348-6034
Mailing address
60 SMITH ST, MONTICELLO, KY 42633-8366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00220282
KY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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