Individual
MARY CATHERINE SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/SLP
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 454-5340
(765) 454-5347
Mailing address
PO BOX 2496, KOKOMO, IN 46904-2496
(765) 454-5340
(765) 454-5347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005296A
IN
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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