Individual
MS. SAMANTHA ELIZABETH CANNAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N NAVAJO DR., PAGE, AZ 86040
(928) 608-4200
Mailing address
6 E TERRACE AVE APT C, FLAGSTAFF, AZ 86001-5270
(617) 688-9311
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10746
AZ
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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