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Individual

MRS. SAMANTHA J MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSP, CCC-SLP

Contact information

Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Mailing address
308 SUNDANCE WAY, SPARTANBURG, SC 29302-3725
(570) 854-6991

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6036
SC
235Z00000X
Speech-Language Pathologist
SLP15556
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180094
AZ
Enumeration date
07/26/2016
Last updated
09/29/2025
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