Individual
MRS. SAMANTHA JOELLE KALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
2100 I 70 DR SW, COLUMBIA, MO 65203-0099
(573) 445-9981
Mailing address
2100 I 70 DR SW, COLUMBIA, MO 65203-0099
(573) 445-9981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011017269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505241505
—
MO
Enumeration date
09/14/2011
Last updated
06/23/2016
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