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Individual

SAMANTHA RENEE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. SLP

Contact information

Practice address
4 N DOUBLE SPRINGS RD, FARMINGTON, AR 72730-2522
(479) 267-5960
Mailing address
5641 W FOUNTAIN ST, FAYETTEVILLE, AR 72704-5565
(620) 485-4600

Taxonomy

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

Other

Enumeration date
08/27/2010
Last updated
08/27/2010
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