Individual
MRS. CAROL MILLER SAMUELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5177 CHENEY RD, ASHVILLE, NY 14710-9733
(716) 763-8199
Mailing address
5177 CHENEY RD, ASHVILLE, NY 14710-9733
(716) 763-8199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012130-1
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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