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Individual

SAMANTHA RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
8942 FOREST AVE, OVERLAND, MO 63114-4834
(314) 255-5759
Mailing address
8942 FOREST AVE, OVERLAND, MO 63114-4834

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014030340
MO

Other

Enumeration date
03/04/2020
Last updated
03/04/2020
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