Individual
SAMANTHA D DEKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
704 OAK ST, CADILLAC, MI 49601-2385
(231) 876-7443
Mailing address
6520 W WALENJUS, LAKE CITY, MI 49651-8924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000176
MI
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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