Individual
SAMANTHA FILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13658 N 73RD DR, PEORIA, AZ 85381-6038
(623) 261-3653
Mailing address
13658 N 73RD DR, PEORIA, AZ 85381-6038
(623) 261-3653
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10036
AZ
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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