Individual
SAMANTHA MALLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10511 WHARFDALE PL, GAINESVILLE, VA 20155-4871
(703) 530-1560
Mailing address
10511 WHARFDALE PL, GAINESVILLE, VA 20155-4871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
03/03/2021
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