Individual
SAMANTHA A SAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1111 ELWAY ST APT 504, SAINT PAUL, MN 55116-3236
(651) 785-3059
Mailing address
1111 ELWAY ST APT 504, SAINT PAUL, MN 55116-3236
(651) 785-3059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8366
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124282173
N/A
MN
Enumeration date
07/17/2008
Last updated
02/15/2012
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