Individual
MRS. SAMANTHA FOGLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
624 S CEDAR ST STE 400, MASON, MI 48854-1590
(517) 898-9664
Mailing address
624 S CEDAR ST STE 400, MASON, MI 48854-1590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008051
MI
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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