Individual
MRS. SAMANTHA ANNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3650 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(678) 305-9200
(678) 305-9201
Mailing address
3650 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(678) 305-9200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007905
GA
Other
Enumeration date
10/02/2013
Last updated
12/07/2021
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