Individual
SAMANTHA JO LENNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1100 COURT DR, MORRIS, MN 56267-4722
(320) 585-5395
Mailing address
56954 240TH ST, ALBERTA, MN 56207-4651
(320) 413-0203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9918
MN
Other
Enumeration date
03/18/2019
Last updated
07/13/2023
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