Individual
MS. SAMANTHA RAE KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1988 HAIRE RD STE 101, FORT MILL, SC 29715-8807
(803) 548-9113
(803) 784-2313
Mailing address
525 E 21ST ST APT 379, CHARLOTTE, NC 28206-3895
(814) 691-4616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8421
SC
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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