Individual
MS. SAMANTHA GRACE CRIMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2602 12TH AVE, GREELEY, CO 80631-8302
(303) 919-9811
Mailing address
2602 12TH AVE, GREELEY, CO 80631-8302
(303) 919-9811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12105752
CO
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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