Individual
SAMANTHA LEIGH HAGNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
Mailing address
809 W GROVE PKWY, APT #2120, TEMPE, AZ 85283-8440
(520) 909-5240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7334
AZ
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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