Individual
SAMANTHA SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 JUPITER ST, WEYMOUTH, MA 02188-1002
(401) 678-6655
Mailing address
14 JUPITER ST, WEYMOUTH, MA 02188-1002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9518
MA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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