Individual
MRS. SAMANTHA CAROL EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 W FERRY ST, BERRIEN SPRINGS, MI 49103-1111
(734) 716-2115
Mailing address
424 W FERRY ST, BERRIEN SPRINGS, MI 49103-1111
(734) 716-2115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005354
MI
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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