Individual
SAMANTHA MAIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 S HIGHLAND DR, KENNEWICK, WA 99337-5115
(509) 521-7791
Mailing address
708 S HIGHLAND DR, KENNEWICK, WA 99337-5115
(509) 521-7791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60509460
WA
Other
Enumeration date
12/09/2014
Last updated
01/25/2015
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