Individual
ALIXANDREA SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
787 N DETROIT ST, LAGRANGE, IN 46761-1111
(260) 463-2172
Mailing address
2190 E 700 S, WOLCOTTVILLE, IN 46795-8958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008392A
IN
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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