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Individual

SAMANTHA CRAIGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 526-1234
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 941-7818

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/15/2018
Last updated
07/15/2018
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