Individual
MRS. SAMANTHA KELLY BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
206 TWINRIDGE LN STE A, NORTH CHESTERFIELD, VA 23235-5200
(804) 323-9060
(804) 323-7576
Mailing address
206 TWINRIDGE LN STE A, NORTH CHESTERFIELD, VA 23235-5200
(804) 323-9060
(804) 323-7576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007259
VA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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