Individual
KATRINNA ANTHONY SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
109 BRIDGE ST, FUQUAY VARINA, NC 27526-1801
(919) 618-7038
Mailing address
109 BRIDGE ST, FUQUAY VARINA, NC 27526-1801
(919) 618-7038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10556
NC
Other
Enumeration date
09/14/2015
Last updated
04/03/2020
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