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Individual

MRS. SAMANTHA VINCENT HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468
Mailing address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8454
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189728721
AR
Enumeration date
01/19/2012
Last updated
10/28/2013
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