Individual
DEBRA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 HACIENDA PL APT 403, WEST HOLLYWOOD, CA 90069-2767
(310) 850-3978
Mailing address
1110 HACIENDA PL APT 403, WEST HOLLYWOOD, CA 90069-2767
(310) 850-3978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13667
CA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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