Individual
MISS SAMANTHA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 E COMMERCIAL ST, KAHOKA, MO 63445
(660) 727-3327
Mailing address
566 E COMMERCIAL ST, KAHOKA, MO 63445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013027618
MO
Other
Enumeration date
04/28/2014
Last updated
02/22/2016
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