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Individual

SAMANTHA FOGGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
103 ROSEMAR CENTER, PARKERSBURG, WV 26104
(304) 422-3343
(304) 422-3467
Mailing address
1305 NATIONAL RD, WHEELING, WV 26003-5705
(304) 242-1390
(304) 243-5880

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0732
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154583000
WV
Enumeration date
03/19/2008
Last updated
06/13/2014
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