Individual
SAMANTHA BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3755 CHURCH ST, ZACHARY, LA 70791-3040
(225) 658-4969
Mailing address
4205 HIGHWAY 68, JACKSON, LA 70748-3710
(225) 658-1288
(225) 658-1298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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