SAMANTHA BLACK

CHICAGO, IL
NPI1104416700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.015549)
Enumeration Date2021-01-19
Last Update Date2023-02-09
Business Address
SAMANTHA BLACK MA CCC-SLP/L
1510 E 55TH ST
CHICAGO, IL 60615-2598
Phone number: 219-363-8498
Mailing Address
SAMANTHA BLACK MA CCC-SLP/L
304 N LOOMIS ST
CHICAGO, IL 60607-1147
Phone number: 312-243-8487
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