Individual
SAMANTHA PAIGE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
508 RANDOM LN, GAYLORD, MI 49735-9304
(989) 732-3508
Mailing address
508 RANDOM LN, GAYLORD, MI 49735-9304
(989) 732-3508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005017
MI
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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