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1114756830
SAMANTHA RAE KOSS
FORT MILL, SC
NPI
1114756830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 8421)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
Ms. SAMANTHA RAE KOSS MS, CCC-SLP
1988 HAIRE RD STE 101
FORT MILL, SC 29715-8807
Phone number: 803-548-9113
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Mailing Address
Ms. SAMANTHA RAE KOSS MS, CCC-SLP
525 E 21ST ST APT 379
CHARLOTTE, NC 28206-3895
Phone number: 814-691-4616
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